Pitfalls in electrogram interpretation: Subcutaneous cardioverter defibrillator malfunction in Brugada syndrome.

Autor: Morani G; Department of Cardiology, Azienda Ospedaliera Universitaria Integrata Verona, Verona, VR, Italy., Bolzan B; Department of Cardiology, Azienda Ospedaliera Universitaria Integrata Verona, Verona, VR, Italy., Tomasi L; Department of Cardiology, Azienda Ospedaliera Universitaria Integrata Verona, Verona, VR, Italy., Tomei R; Department of Cardiology, Azienda Ospedaliera Universitaria Integrata Verona, Verona, VR, Italy., Vassanelli C; Department of Cardiology, Azienda Ospedaliera Universitaria Integrata Verona, Verona, VR, Italy.
Jazyk: angličtina
Zdroj: Pacing and clinical electrophysiology : PACE [Pacing Clin Electrophysiol] 2017 Oct; Vol. 40 (10), pp. 1180-1183. Date of Electronic Publication: 2017 May 16.
DOI: 10.1111/pace.13091
Abstrakt: A patient with Brugada syndrome implanted with subcutaneous implantable cardioverter defibrillator (S-ICD) had oversensing episodes treated with S-ICD shocks. Comparable artifacts were not evocable with S-ICD pocket manipulation. The fluoroscopy excluded S-ICD macroscopic damage. The device extraction revealed undamaged pulse generator and connector, but the lead was inappropriately tunneled under the sixth rib. Then the S-ICD malfunction was due to lead microscopic damage caused by the lead rubbing the rib surface.
(© 2017 Wiley Periodicals, Inc.)
Databáze: MEDLINE
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