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An unusual case of combined classic and reverse twiddler's syndrome
Fozia Z Ahmed1, Matthew Luckie, Grahame K Goode
1Department of Cardiology, Manchester Heart Centre, Manchester Royal Infirmary, Manchester, UK. foziaahmed@doctors.org.uk
Abstract:
In recent years the phenomenon of reverse twiddler's syndrome has been described, characterized by pulse generator manipulation resulting in lead advancement rather than retraction. We describe what we believe to be the first reported case of both classic and reverse twiddler's syndrome occurring simultaneously in a patient with a biventricular implantable cardioverter-defibrillator.
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