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.
References
Hofer D, Steffel J, Hürlimann D et al (2017) Long-term incidence of inappropriate shocks in patients with implantable cardioverter defibrillators in clinical practice—an underestimated complication? J Interv Card Electrophysiol 50(3):219–226. https://doi.org/10.1007/s10840-017-0297-8
Mehta NK, Taylor M, Kalbfleisch S (2016) The impact of inappropriate Implantable cardiac defibrillator shocks on cardiovascular morbidity and mortality. Pacing Clin Electrophysiol 39(8):858–862. https://doi.org/10.1111/pace.12890
Swerdlow CD, Asirvatham SJ, Ellenbogen KA, Friedman PA (2014) Troubleshooting implanted cardioverter defibrillator sensing problems i. Circ Arrhythmia Electrophysiol 7(6):1237–1261. https://doi.org/10.1161/CIRCEP.114.002344
Powell BD, Asirvatham SJ, Perschbacher DL et al (2012) Noise, artifact, and oversensing related inappropriate ICD shock evaluation: ALTITUDE noise study. Pacing Clin Electrophysiol 35(7):863–869. https://doi.org/10.1111/j.1540-8159.2012.03407.x
Al Hamdi A, Jastrzȩbski M, Hawas JM (2013) Atrial and ventricular lead switch at the pacemaker header: Why did asystole first occur 3 years later? Pacing Clin Electrophysiol 36(11):1431–1433. https://doi.org/10.1111/pace.12149
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We would like to thank our local Boston Scientific’s team for their technical support.
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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