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Case Reports
. 2013 Aug;29(8):1015.e9-1015.e10.
doi: 10.1016/j.cjca.2012.12.006. Epub 2013 Apr 15.

An unusual case of combined classic and reverse twiddler's syndrome

Fozia Z Ahmed  1 , Matthew Luckie, Grahame K Goode
Affiliations
Case Reports

An unusual case of combined classic and reverse twiddler's syndrome

Fozia Z Ahmed et al. Can J Cardiol. 2013 Aug.

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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