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Inappropriate shocks following recent generator replacement

Inadäquate Schockabgaben einige Monate nach Generatorwechsel

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Abstract

In a 64-year-old male patient with an implantable cardioverter defibrillator (ICD) for secondary prevention of sudden cardiac death, a shock occurred some months after generator exchange and downgrade to a single-chamber system. Careful analysis of the stored electrogram revealed a rare cause that could be confirmed at the time of operative revision.

Zusammenfassung

Bei einem 64-jährigen Patienten mit einem implantierbaren Kardioverter-Defibrillator (ICD) zur Sekundärprophylaxe des plötzlichen Herztods kam es einige Monate nach Generatorwechsel und Downgrade auf ein Ein-Kammer-System zu einer Schockabgabe. Die sorgfältige Analyse des gespeicherten Elektrogramms ergab eine seltene Ursache, die sich zum Zeitpunkt einer operativen Revision bestätigte.

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References

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Acknowledgements

We would like to thank our local Boston Scientific’s team for their technical support.

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Correspondence to Sherien Samy Awad MD, PhD.

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Sherien Samy Awad, Mahmoud Abouelatta Elmowafy, Ahmed Shaaban Ahmed Khalil, and Ahmed El-Damaty declare that they have no competing interests.

For this article no studies with human participants or animals were performed by any of the authors. All studies mentioned were in accordance with the ethical standards indicated in each case. Additional written informed consent was obtained from all individual participants or their legal representatives for whom identifying information is included in this article.

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Samy Awad, S., Abouelatta Elmowafy, M., Ahmed Khalil, A.S. et al. Inappropriate shocks following recent generator replacement. Herzschr Elektrophys 34, 68–70 (2023). https://doi.org/10.1007/s00399-022-00918-z

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  • DOI: https://doi.org/10.1007/s00399-022-00918-z

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