title: Fiddling with the pacemaker: Twiddler's syndrome in a Parkinsonian patient.
abstract: 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.
authors.affiliation: Department of Cardiology, Imperial College NHS Trust, UK.
authors.forename: J
authors.initials: J
authors.lastname: Grapsa
authors.forename: M
authors.initials: M
authors.lastname: Koa-Wing
authors.forename: K F
authors.initials: KF
authors.lastname: Fox
mesh_terms: D000369:Aged, 80 and over; D006327:Heart Block / Q000628:therapy; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D010300:Parkinson Disease / Q000000981:diagnostic imaging*; D013575:Syncope / Q000628:therapy; D013577:Syndrome; D014057:Tomography, X-Ray Computed