Management of the patient with implantable cardioverter-defibrillator lead failure.
نویسندگان
چکیده
A 52-year-old man was brought to the emergency department because of multiple implantable cardioverterdefibrillator (ICD) shocks. His existing dual-chamber pacemaker was upgraded from a biventricular ICD 4 years ago. The ECG in the emergency department showed sinus tachycardia with left bundle-branch block at a rate of 135 bpm. In the emergency department, the patient received 5 additional shocks without a change in rhythm. A donut magnet was placed over the ICD. Interrogation revealed evidence of a lead fracture, and tachycardia therapies were disabled. The high-voltage lead was a Medtronic Sprint Fidelis ICD lead. Admission to the hospital was recommended for definitive correction of his problem.
منابع مشابه
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عنوان ژورنال:
- Circulation
دوره 123 12 شماره
صفحات -
تاریخ انتشار 2011