Cardiac Resynchronization Therapy (CRT)–Induced Hiccups

A woman in her 40s developed hiccups after implantation of a cardiac resynchronization device for dilated cardiomyopathy. Diaphragmatic twitch is a complication of CRT from inadvertent stimulation of the left phrenic nerve and can be managed by reprogramming the device, surgical intervention, or nonsurgical retraction of a left ventricular lead. Click the Related Article link for full case details.