{"pk":667,"title":"Twiddler’s Syndrome","subtitle":null,"abstract":"Twiddler’s syndrome refers to a rare condition in which a pacemaker or automatic implantable cardioverter-defibrillator (AICD) malfunctions due to coiling of the device in the skin pocket and resultant lead displacement. This image is the chest radiograph (CXR) of a 54-year-old male who presented to the emergency department with chest pain five months after his AICD was placed. The CXR shows AICD leads coiled around the device and the absence of leads in the ventricle consistent with Twiddler’s syndrome. Patients with twiddler’s syndrome should be admitted for operative intervention.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0hv6s169","frozenauthors":[{"first_name":"Jason","middle_name":"A.","last_name":"Lesnick","name_suffix":"","institution":"McGovern Medical School at the University of Texas Health Science Center in Houston (UTHealth), Department of Emergency Medicine, Houston, Texas","department":"None"},{"first_name":"Benjamin","middle_name":"L.","last_name":"Cooper","name_suffix":"","institution":"McGovern Medical School at the University of Texas Health Science Center in Houston (UTHealth), Department of Emergency Medicine, Houston, Texas","department":"None"},{"first_name":"Pratik","middle_name":"B.","last_name":"Doshi","name_suffix":"","institution":"McGovern Medical School at the University of Texas Health Science Center in Houston (UTHealth), Department of Emergency Medicine, Houston, Texas","department":"None"}],"date_submitted":"2019-04-02T13:41:36-07:00","date_accepted":"2019-04-02T13:41:36-07:00","date_published":"2019-05-20T14:06:38-07:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/667/galley/426/download/"}]}