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Short-Long R-R Sequence Induced Implantable Cardioverter Defibrillator Shock by Dislodged Lead Even Having Normal Interrogation Parameter

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초록

Inappropriate shocks from an implantable cardioverter defibrillator (ICD) can cause potentially dangerous ventricular arrhythmias and impaired quality of life. We describe a case in which a dislodged lead caused inappropriate ICD shocks through simultaneous sensing of atrial and ventricular signals. Interestingly, repeated short-long R-R sequences were recorded, but ICD interrogation parameters were usually unchanged.

Abstract

Inappropriate shocks from an implantable cardioverter defibrillator (ICD) can cause potentially dangerous ventricular arrhythmias and impaired quality of life. We describe a case in which a dislodged lead caused inappropriate ICD shocks through simultaneous sensing of atrial and ventricular signals. Interestingly, repeated short-long R-R sequences were recorded, but ICD interrogation parameters were usually unchanged.

참고문헌 (5)

  1. Madhavan M, "Optimal programming of implantable cardiac-defibrillators", Circulation, 128, pp.659~672 (2013)[DOI]
  2. van Rees JB, "Inappropriate implantable cardioverter-defibrillator shocks: incidence, predictors, and impact on mortality", J Am Coll Cardiol, 57, pp.556~562 (2011)[DOI]
  3. Veltmann C, "Fatal inappropriate ICD shock", J Cardiovasc Electrophysiol, 18, pp.326~328 (2007)[DOI]
  4. Daubert JP, "Inappropriate implantable cardioverter-defibrillator shocks in MADIT II: frequency, mechanisms, predictors, and survival impact", J Am Coll Cardiol, 51, pp.1357~1365 (2008)[DOI]
  5. Messali A, "Death due to an implantable cardioverter defibrillator", J Cardiovasc Electrophysiol, 15, pp.953~956 (2004)[DOI]

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