Replacement of an Implantable Cardioverter-Defibrillator (ICD) with a New Standard Subcutaneous ICD System in a Patient with Jervell and Lange-Nielsen Syndrome

Autor: Kenichi Iijima, Tohru Minamino, Nobue Yagihara, Hisanori Haniu, Yuki Hasegawa, Daisuke Izumi, Shuichi Shiraishi, Akinori Sato
Rok vydání: 2019
Předmět:
Zdroj: International Heart Journal. 60:1206-1210
ISSN: 1349-3299
1349-2365
DOI: 10.1536/ihj.19-076
Popis: A 7-year-old female suffering from syncope attacks and deafness was genetically diagnosed with Jervell and Lange-Nielsen syndrome (JLNS). A transvenous-designed shock lead and implantable cardioverter-defibrillator (ICD) were atypically implanted subcutaneously, because the patient's body was small. Six years after implantation, we confirmed the patient's eligibility for a subcutaneous ICD (S-ICD) based on electrocardiogram screening. The implanted ICD system was replaced with a new standard S-ICD system. Implantation of the S-ICD may be considered a reliable and safe option in young patients with JLNS, even if their electrocardiograms show remarkable prolongation of the QT interval and T-wave alternans.
Databáze: OpenAIRE