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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.
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