Valentino Ducceschi, Marcello De Divitiis, Giovanni Domenico Ciriello, Paolo Gallo
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Leadless pacemaker in Twiddler's syndrome: A case report.
Twiddler's syndrome is a rare cause of pacemaker lead dislodgement. We present the case of a 49-year-old male patient with Down's syndrome implanted with a dual chamber pacemaker showing high ventricular impedance, no sensing, and complete loss of capture for both leads at the 3-month follow-up due to Twiddler Syndrome. The dislocated device was removed, and an endocardial leadless pacing system was implanted.
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