Inappropriate defibrillator shock due to oversensing. What is the mechanism?
Implantable cardioverter defibrillator (ICD) is often advised for secondary prevention of sudden cardiac death. Inappropriate shocks from ICD is uncommon but can seriously affect the quality of life. One of the reasons for inappropriate ICD shock is loose set screw, which may remain undetected by de...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-01-01
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| Series: | Indian Pacing and Electrophysiology Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0972629220301145 |
| _version_ | 1818875386524598272 |
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| author | Debabrata Bera Daljeet Kaur Saggu Goddu Sreeram Chandra Murthy Sachin Yalagudri Chennapragada Sridevi Calambur Narasimhan |
| author_facet | Debabrata Bera Daljeet Kaur Saggu Goddu Sreeram Chandra Murthy Sachin Yalagudri Chennapragada Sridevi Calambur Narasimhan |
| author_sort | Debabrata Bera |
| collection | DOAJ |
| description | Implantable cardioverter defibrillator (ICD) is often advised for secondary prevention of sudden cardiac death. Inappropriate shocks from ICD is uncommon but can seriously affect the quality of life. One of the reasons for inappropriate ICD shock is loose set screw, which may remain undetected by device interrogation and/or fluoroscopy. A 55-year lady presented with multiple inappropriate shocks few hours after an ICD implantation. The discrepancy between near field (NF, tip to ring) and far field (FF, Can to RV coil) signals helped us to suspect noise related to loose set screw, as the underlying problem. Re-exploration of the pocket had to be performed as the last resort to confirm the diagnosis and rectify the problem. |
| first_indexed | 2024-12-19T13:25:40Z |
| format | Article |
| id | doaj.art-e898498c9b4f4b958edbc7d67b92bb72 |
| institution | Directory Open Access Journal |
| issn | 0972-6292 |
| language | English |
| last_indexed | 2024-12-19T13:25:40Z |
| publishDate | 2021-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Indian Pacing and Electrophysiology Journal |
| spelling | doaj.art-e898498c9b4f4b958edbc7d67b92bb722022-12-21T20:19:34ZengElsevierIndian Pacing and Electrophysiology Journal0972-62922021-01-012115458Inappropriate defibrillator shock due to oversensing. What is the mechanism?Debabrata Bera0Daljeet Kaur Saggu1Goddu Sreeram Chandra Murthy2Sachin Yalagudri3Chennapragada Sridevi4Calambur Narasimhan5Dept of Cardiology, RTIICS, Kolkata, IndiaDept of Cardiology, AIG Hospitals, Hyderabad, IndiaDept of Cardiology, CARE Hospital, Vishakhapatnam, IndiaDept of Cardiology, AIG Hospitals, Hyderabad, IndiaDept of Cardiology, AIG Hospitals, Hyderabad, IndiaDept of Cardiology, AIG Hospitals, Hyderabad, India; Corresponding author. Department of Cardiology, arrhythmia services, AIG Hospital, Hyderabad, India.Implantable cardioverter defibrillator (ICD) is often advised for secondary prevention of sudden cardiac death. Inappropriate shocks from ICD is uncommon but can seriously affect the quality of life. One of the reasons for inappropriate ICD shock is loose set screw, which may remain undetected by device interrogation and/or fluoroscopy. A 55-year lady presented with multiple inappropriate shocks few hours after an ICD implantation. The discrepancy between near field (NF, tip to ring) and far field (FF, Can to RV coil) signals helped us to suspect noise related to loose set screw, as the underlying problem. Re-exploration of the pocket had to be performed as the last resort to confirm the diagnosis and rectify the problem.http://www.sciencedirect.com/science/article/pii/S0972629220301145Inappropriate ICD shockLoose set screwNear field-marker channel discrepancy |
| spellingShingle | Debabrata Bera Daljeet Kaur Saggu Goddu Sreeram Chandra Murthy Sachin Yalagudri Chennapragada Sridevi Calambur Narasimhan Inappropriate defibrillator shock due to oversensing. What is the mechanism? Indian Pacing and Electrophysiology Journal Inappropriate ICD shock Loose set screw Near field-marker channel discrepancy |
| title | Inappropriate defibrillator shock due to oversensing. What is the mechanism? |
| title_full | Inappropriate defibrillator shock due to oversensing. What is the mechanism? |
| title_fullStr | Inappropriate defibrillator shock due to oversensing. What is the mechanism? |
| title_full_unstemmed | Inappropriate defibrillator shock due to oversensing. What is the mechanism? |
| title_short | Inappropriate defibrillator shock due to oversensing. What is the mechanism? |
| title_sort | inappropriate defibrillator shock due to oversensing what is the mechanism |
| topic | Inappropriate ICD shock Loose set screw Near field-marker channel discrepancy |
| url | http://www.sciencedirect.com/science/article/pii/S0972629220301145 |
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