제세동기에서 발생한 트위들러 증후군

• Published in: The Korean journal of medicine Vol. 78; no. 1; pp. 113 - 116
• Main Authors: 이경석, Kyoung Suk Rhee, 김원호, Won Ho Kim, 고재기, Jae Ki Ko
• Format: Journal Article
• Language: English; Korean
• Published: 대한내과학회 01.01.2010
• Subjects: Complication; Defibrillator; Twiddler`s syndrome; 내과학; 제세동기; 트위들러 증후군; 합병증
• ISSN: 1738-9364; 2289-0769

Here we describe a case of Twiddler`s syndrome in a patient with an implanted cardioverter-defibrillator who tinkered with the device, shifting it to a vertical position and causing her skin to protrude in various locations. Fluoroscopy was used to determine what direction the device was rotating in during specific body postures and physical activities. Inappropriate shocks were delivered whenever the patient pushed the device down toward her sternum. The syndrome did not recur following training of the patient in a lead-revision procedure that involved shifting the device down vertically toward her lateral side with her hands. (Korean J Med 78:113-116, 2010)