Abstract

A 64-year-old female with a history of myocardial infarction in 2003 with an ejection fraction of 23% underwent an ICD implantation in July 2008 without complications (figure 1). In 1945 her right leg was amputated as a result of a war injury and in 2007 she was treated for a right-sided mamma carcinoma with a sentinel node procedure and curative radiotherapy. One month after the implantation of the ICD the patient had complaints of contractions of the biceps of her left arm resulting in continuous bending of her left arm with a frequency of 40 beats/min.

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