Fiddling with the pacemaker: Twiddler’s syndrome in a parkinsonian patient

We describe the case report of an 86-year-old Afro-Caribbean parkinsonian gentleman with intermittent Mobitz II heart block and syncope who received a DDD pacemaker. Due to Parkinson’s syndrome, the patient rotated the atrial lead around the pacemaker, causing the famous "Twiddler’s syndrome", a rare clinical issue which can easily be diagnosed with a simple chest X-ray.

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