Unexpected inhibition of bradycardia pacing due to oversensing in ICD lead fracture associated with spurious tachyarrhythmia detection and discharges

Ιn a 76-year old man with a dual-chamber ICD implanted five years ago, dizzy spells and significant bradycardia on Holter were not initially recognized as inhibition of bradycardia pacing, due to oversensing. Hospital admission was deemed necessary only after repetitive ICD shocks attributed to righ...

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Main Authors: Fani Zagkli, Panagiotis Chronopoulos, John Chiladakis
Format: Article
Language:English
Published: Elsevier 2021-05-01
Series:Indian Pacing and Electrophysiology Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0972629221000292
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author Fani Zagkli
Panagiotis Chronopoulos
John Chiladakis
author_facet Fani Zagkli
Panagiotis Chronopoulos
John Chiladakis
author_sort Fani Zagkli
collection DOAJ
description Ιn a 76-year old man with a dual-chamber ICD implanted five years ago, dizzy spells and significant bradycardia on Holter were not initially recognized as inhibition of bradycardia pacing, due to oversensing. Hospital admission was deemed necessary only after repetitive ICD shocks attributed to right ventricular pace-sense lead fracture. The need to ensure adequate ICD antibradycardia backup pacing in pacing-dependent patients when deleterious sensing errors occur, cannot be overemphasized.
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spelling doaj.art-1b3b9afebd3f40c4b73af08ac0c283e42022-12-21T22:07:29ZengElsevierIndian Pacing and Electrophysiology Journal0972-62922021-05-01213182185Unexpected inhibition of bradycardia pacing due to oversensing in ICD lead fracture associated with spurious tachyarrhythmia detection and dischargesFani Zagkli0Panagiotis Chronopoulos1John Chiladakis2University Hospital of Patras, Department of Cardiology, GreeceUniversity Hospital of Patras, Department of Cardiology, GreeceCorresponding author.; University Hospital of Patras, Department of Cardiology, GreeceΙn a 76-year old man with a dual-chamber ICD implanted five years ago, dizzy spells and significant bradycardia on Holter were not initially recognized as inhibition of bradycardia pacing, due to oversensing. Hospital admission was deemed necessary only after repetitive ICD shocks attributed to right ventricular pace-sense lead fracture. The need to ensure adequate ICD antibradycardia backup pacing in pacing-dependent patients when deleterious sensing errors occur, cannot be overemphasized.http://www.sciencedirect.com/science/article/pii/S0972629221000292BradycardiaICD lead FractureOversensingInappropriate shocks
spellingShingle Fani Zagkli
Panagiotis Chronopoulos
John Chiladakis
Unexpected inhibition of bradycardia pacing due to oversensing in ICD lead fracture associated with spurious tachyarrhythmia detection and discharges
Indian Pacing and Electrophysiology Journal
Bradycardia
ICD lead Fracture
Oversensing
Inappropriate shocks
title Unexpected inhibition of bradycardia pacing due to oversensing in ICD lead fracture associated with spurious tachyarrhythmia detection and discharges
title_full Unexpected inhibition of bradycardia pacing due to oversensing in ICD lead fracture associated with spurious tachyarrhythmia detection and discharges
title_fullStr Unexpected inhibition of bradycardia pacing due to oversensing in ICD lead fracture associated with spurious tachyarrhythmia detection and discharges
title_full_unstemmed Unexpected inhibition of bradycardia pacing due to oversensing in ICD lead fracture associated with spurious tachyarrhythmia detection and discharges
title_short Unexpected inhibition of bradycardia pacing due to oversensing in ICD lead fracture associated with spurious tachyarrhythmia detection and discharges
title_sort unexpected inhibition of bradycardia pacing due to oversensing in icd lead fracture associated with spurious tachyarrhythmia detection and discharges
topic Bradycardia
ICD lead Fracture
Oversensing
Inappropriate shocks
url http://www.sciencedirect.com/science/article/pii/S0972629221000292
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