Biventricular implantable cardioverter defibrillator and inappropriate shocks

Komandoor Srivathsan, Jane L. Bazzell, Richard W. Lee

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

A 53-year-old man with nonischemic cardiomyopathy underwent implantation of a biventricular implantable cardioverter defibrillator (ICD) for symptomatic ventricular tachycardia. He received five shocks while attempting to exercise, 48 hours after implantation. Interrogation of the device revealed double counting of ventricular sensed events by the left and right ventricular leads. Shortening the AV delay and AV nodal blockade (beta-blocker) to promote ventricular pacing failed to prevent additional inappropriate ICD discharges. After detailed consideration of all options including AV nodal ablation, we chose to disconnect the left ventricular lead pending availability of newer devices with sensing functions limited to the right ventricular lead. Since then, the patient has not experienced any additional inappropriate discharges.

Original languageEnglish (US)
Pages (from-to)88-89
Number of pages2
JournalJournal of cardiovascular electrophysiology
Volume14
Issue number1
DOIs
StatePublished - Jan 1 2003

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Keywords

  • Implantable cardioverter defibrillator
  • Inappropriate discharge

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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