A case of supraventricular tachycardia misdiagnosis after dual‐chamber implantable cardioverter defibrillator implantation with His bundle pacing
Abstract The combined use of an implantable cardioverter defibrillator (ICD) and His bundle pacing (HBP) is believed to benefit patients with dilated cardiomyopathy (DCM) and atrial fibrillation but needs more guidance built on clinical experience. A patient who had an implanted dual‐chamber ICD wit...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-05-01
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| Series: | Annals of Noninvasive Electrocardiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/anec.13042 |
| _version_ | 1827944397390479360 |
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| author | Xianchao Sun Yue Huang |
| author_facet | Xianchao Sun Yue Huang |
| author_sort | Xianchao Sun |
| collection | DOAJ |
| description | Abstract The combined use of an implantable cardioverter defibrillator (ICD) and His bundle pacing (HBP) is believed to benefit patients with dilated cardiomyopathy (DCM) and atrial fibrillation but needs more guidance built on clinical experience. A patient who had an implanted dual‐chamber ICD with HBP presented to our hospital with DCM and atrial fibrillation. In the present case, the criteria for differential diagnosis were set as “if all,” which requires matching the morphological template, sudden onset, and interval stability. Ventricular tachycardia (VT) was misdiagnosed as supraventricular tachycardia due to morphological matching to sinus tachycardia. The misdiagnosis and mistaken VT treatment(ICD adaptive treatment) highlight the importance of personalized settings for differential diagnosis to avoid such a misdiagnosis or omission. |
| first_indexed | 2024-03-13T10:28:38Z |
| format | Article |
| id | doaj.art-37a2541cff0c4a4fb8430c745bf0860f |
| institution | Directory Open Access Journal |
| issn | 1082-720X 1542-474X |
| language | English |
| last_indexed | 2024-03-13T10:28:38Z |
| publishDate | 2023-05-01 |
| publisher | Wiley |
| record_format | Article |
| series | Annals of Noninvasive Electrocardiology |
| spelling | doaj.art-37a2541cff0c4a4fb8430c745bf0860f2023-05-19T03:57:51ZengWileyAnnals of Noninvasive Electrocardiology1082-720X1542-474X2023-05-01283n/an/a10.1111/anec.13042A case of supraventricular tachycardia misdiagnosis after dual‐chamber implantable cardioverter defibrillator implantation with His bundle pacingXianchao Sun0Yue Huang1First Hospital of Jiaxing Zhejiang ChinaFirst Hospital of Jiaxing Zhejiang ChinaAbstract The combined use of an implantable cardioverter defibrillator (ICD) and His bundle pacing (HBP) is believed to benefit patients with dilated cardiomyopathy (DCM) and atrial fibrillation but needs more guidance built on clinical experience. A patient who had an implanted dual‐chamber ICD with HBP presented to our hospital with DCM and atrial fibrillation. In the present case, the criteria for differential diagnosis were set as “if all,” which requires matching the morphological template, sudden onset, and interval stability. Ventricular tachycardia (VT) was misdiagnosed as supraventricular tachycardia due to morphological matching to sinus tachycardia. The misdiagnosis and mistaken VT treatment(ICD adaptive treatment) highlight the importance of personalized settings for differential diagnosis to avoid such a misdiagnosis or omission.https://doi.org/10.1111/anec.13042atrial fibrillationHis bundle packingimplantable cardioverter defibrillatorsupraventricular tachycardiaventricular tachycardia |
| spellingShingle | Xianchao Sun Yue Huang A case of supraventricular tachycardia misdiagnosis after dual‐chamber implantable cardioverter defibrillator implantation with His bundle pacing Annals of Noninvasive Electrocardiology atrial fibrillation His bundle packing implantable cardioverter defibrillator supraventricular tachycardia ventricular tachycardia |
| title | A case of supraventricular tachycardia misdiagnosis after dual‐chamber implantable cardioverter defibrillator implantation with His bundle pacing |
| title_full | A case of supraventricular tachycardia misdiagnosis after dual‐chamber implantable cardioverter defibrillator implantation with His bundle pacing |
| title_fullStr | A case of supraventricular tachycardia misdiagnosis after dual‐chamber implantable cardioverter defibrillator implantation with His bundle pacing |
| title_full_unstemmed | A case of supraventricular tachycardia misdiagnosis after dual‐chamber implantable cardioverter defibrillator implantation with His bundle pacing |
| title_short | A case of supraventricular tachycardia misdiagnosis after dual‐chamber implantable cardioverter defibrillator implantation with His bundle pacing |
| title_sort | case of supraventricular tachycardia misdiagnosis after dual chamber implantable cardioverter defibrillator implantation with his bundle pacing |
| topic | atrial fibrillation His bundle packing implantable cardioverter defibrillator supraventricular tachycardia ventricular tachycardia |
| url | https://doi.org/10.1111/anec.13042 |
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