A Fortuitous Syncope. The pitfalls of Integrated Bipolar Defibrillator Leads

Myopotential oversensing in implantable defibrillators causing inhibition of pacing and inappropriate therapies is well described. Current literature is dominated by reports of diaphragmatic muscle as the source of such far-field oversensing. Those reporting pectoral muscle sources were invariably d...

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Autores principales: Salukhe, Tushar V, Wright, Ian, Wright, Matthew, Kanagaratnam, Prapa, O'Neill, Mark D
Formato: Texto
Lenguaje:English
Publicado: Indian Heart Rhythm Society 2008
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2572022/
https://www.ncbi.nlm.nih.gov/pubmed/18982142
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author Salukhe, Tushar V
Wright, Ian
Wright, Matthew
Kanagaratnam, Prapa
O'Neill, Mark D
author_facet Salukhe, Tushar V
Wright, Ian
Wright, Matthew
Kanagaratnam, Prapa
O'Neill, Mark D
author_sort Salukhe, Tushar V
collection PubMed
description Myopotential oversensing in implantable defibrillators causing inhibition of pacing and inappropriate therapies is well described. Current literature is dominated by reports of diaphragmatic muscle as the source of such far-field oversensing. Those reporting pectoral muscle sources were invariably due to unipolar sensing circuits, incorrect DF-1 connections or inappropriate programming. We report an interesting case of pectoral muscle myopotential oversensing causing inhibition of bradycardia pacing leading to presyncope and syncope.
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spelling pubmed-25720222008-11-03 A Fortuitous Syncope. The pitfalls of Integrated Bipolar Defibrillator Leads Salukhe, Tushar V Wright, Ian Wright, Matthew Kanagaratnam, Prapa O'Neill, Mark D Indian Pacing Electrophysiol J Case Report Myopotential oversensing in implantable defibrillators causing inhibition of pacing and inappropriate therapies is well described. Current literature is dominated by reports of diaphragmatic muscle as the source of such far-field oversensing. Those reporting pectoral muscle sources were invariably due to unipolar sensing circuits, incorrect DF-1 connections or inappropriate programming. We report an interesting case of pectoral muscle myopotential oversensing causing inhibition of bradycardia pacing leading to presyncope and syncope. Indian Heart Rhythm Society 2008-11-01 /pmc/articles/PMC2572022/ /pubmed/18982142 Text en Copyright: © 2008 Salukhe et al. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Salukhe, Tushar V
Wright, Ian
Wright, Matthew
Kanagaratnam, Prapa
O'Neill, Mark D
A Fortuitous Syncope. The pitfalls of Integrated Bipolar Defibrillator Leads
title A Fortuitous Syncope. The pitfalls of Integrated Bipolar Defibrillator Leads
title_full A Fortuitous Syncope. The pitfalls of Integrated Bipolar Defibrillator Leads
title_fullStr A Fortuitous Syncope. The pitfalls of Integrated Bipolar Defibrillator Leads
title_full_unstemmed A Fortuitous Syncope. The pitfalls of Integrated Bipolar Defibrillator Leads
title_short A Fortuitous Syncope. The pitfalls of Integrated Bipolar Defibrillator Leads
title_sort fortuitous syncope. the pitfalls of integrated bipolar defibrillator leads
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2572022/
https://www.ncbi.nlm.nih.gov/pubmed/18982142
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