Repeat inappropriate defibrillator discharges following defibrillator implantation. What is the mechanism and treatment?

نویسندگان

  • Jeremy W. Docekal
  • Mark C. Haigney
  • Joseph C. Lee
  • Matthew Needleman
چکیده

Introduction Inappropriate shocks from implantable cardioverterdefibrillator (ICD) devices are a well-described clinical problem that contributes to patient morbidity and mortality. There are a number of causes for inappropriate ICD discharge, and T-wave oversensing (TWOS) is one such example. Improvements in ICD sensing algorithms have reduced the incidence of inappropriate therapies but have not eliminated this clinical problem. In this article we present an unusual cause of TWOS leading to multiple inappropriate ICD discharges. Furthermore, we review the algorithms in use by the major device manufacturers to help reduce the incidence of TWOS.

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عنوان ژورنال:

دوره 2  شماره 

صفحات  -

تاریخ انتشار 2016