title: An unusual case of combined classic and reverse twiddler's syndrome.
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.
authors.affiliation: Department of Cardiology, Manchester Heart Centre, Manchester Royal Infirmary, Manchester, UK. foziaahmed@doctors.org.uk
authors.forename: Fozia Z
authors.initials: FZ
authors.lastname: Ahmed
authors.forename: Matthew
authors.initials: M
authors.lastname: Luckie
authors.forename: Grahame K
authors.initials: GK
authors.lastname: Goode
mesh_terms: D017147:Defibrillators, Implantable / Q000009:adverse effects*; D004567:Electrodes, Implanted / Q000009:adverse effects*; D004868:Equipment Failure; D005548:Foreign-Body Migration / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D006321:Heart / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013577:Syndrome