An 'inappropriately appropriate' shock in a subcutaneous implantable cardioverter-defibrillator: The importance of the SMART pass algorithm
| Autor: | José Manuel Rubio Campal, Juan Benezet-Mazuecos, Julian Crosa, P. Sánchez-Borque, Miguel A. Arias, Ángel Miracle Blanco |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Inappropriate shock business.industry medicine.medical_treatment 030204 cardiovascular system & hematology Implantable cardioverter-defibrillator Ventricular tachycardia medicine.disease Defibrillators Implantable 03 medical and health sciences 0302 clinical medicine Sustained ventricular tachycardia Shock (circulatory) Tachycardia Ventricular Medicine Humans Equipment Failure 030212 general & internal medicine medicine.symptom Cardiology and Cardiovascular Medicine business Algorithm Algorithms Aged |
| Zdroj: | Journal of electrocardiology. 51(6) |
| ISSN: | 1532-8430 |
| Popis: | We report on a case of a 78-years-old patient with a subcutaneous implantable cardioverter defibrillator (S-ICD) and an episode of a sustained ventricular tachycardia (VT) at a rate slower than the programmed shock zone. Because of T-wave oversensing the device interpreted it as fast VT that triggered the delivery of an “inappropriately appropriate shock” that terminated it. The patient had again more VT episodes but after programming the SMART pass algorithm (previously programmed “OFF”) the device showed no longer frequent T-wave oversensing and no additional inappropriate shocks occurred. |
| Databáze: | OpenAIRE |
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