旋弄综合征是置入性永久起搏器和埋藏式心脏转复除颤器的一种少见而严重的、有潜在致命危险的并发症,常发生于肥胖的中老年女性患者和年长的患者。通过心电图、胸片和程控参数的检查可以发现旋弄综合征,术后24~48 h的对照胸片对诊断非常重要。经皮导线重置是损伤小、副作用少、成功率高的治疗方法,如果不成功可行外科手术。 Screw-in syndrome is a rare and potentially fatal dangerous complication of an implantable permanent pacemaker and an implantable cardioverter defibrillator. It often occurs in obese middle-aged and elderly female patients and in elderly patient. Gynecological syndromes can be detected by examination of electrocardiogram, chest radiographs, and program-controlled parameters. A control chest radiograph 24 to 48 hours after surgery is important for diagnosis. Percutaneous wire replacement is a small injury, fewer side effects, high success rate of treatment, if unsuccessful viable surgery.