title: Twiddler's syndrome: an interesting cause of pacemaker failure.
abstract: This case report describes a patient with twiddler's syndrome, a rare condition of permanent pacemaker failure resulting from inadvertent or deliberate rotation of the pulse generator causing lead dislodgement. This report underscores the importance of dementia as a risk factor for twiddler's syndrome.
authors.affiliation: Section of Cardiology, Department of Medicine, State University of New York - Downstate Medical Center, Brooklyn, NY 11203, USA. ric_castillo@hotmail.com
authors.forename: Ricardo
authors.initials: R
authors.lastname: Castillo
authors.forename: Erdal
authors.initials: E
authors.lastname: Cavusoglu
mesh_terms: D000368:Aged; D003704:Dementia / Q000523:psychology*; D004868:Equipment Failure; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D012307:Risk Factors; D012399:Rotation; D013577:Syndrome; D013617:Tachycardia, Supraventricular / Q000209:etiology