Importance of exercise testing shortly after subcutaneous implantable cardioverter-defibrillator implantation in patients with Brugada syndrome – The first case of associated inappropriate shock in Japan

We report the case of a 51-year-old patient with Brugada syndrome (BrS) who experienced inappropriate shock due to T-wave oversensing (TWOS) during exercise when the optimal sensing vector was selected based on the automatic analysis by a subcutaneous implantable cardioverter-defibrillator (S-ICD)....

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Detalles Bibliográficos
Autores principales: Ishibashi, Kohei, Noda, Takashi, Kamakura, Tsukasa, Wada, Mitsuru, Inoue, Yuko, Okamura, Hideo, Kusano, Kengo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Rapid Firing
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5388046/
https://www.ncbi.nlm.nih.gov/pubmed/28416987
http://dx.doi.org/10.1016/j.joa.2016.07.006
Descripción
Sumario:We report the case of a 51-year-old patient with Brugada syndrome (BrS) who experienced inappropriate shock due to T-wave oversensing (TWOS) during exercise when the optimal sensing vector was selected based on the automatic analysis by a subcutaneous implantable cardioverter-defibrillator (S-ICD). After selecting another vector during exercise testing, TWOS did not re-occur. Selection of appropriate sensing vector based on analyses under various conditions, including during exercise after S-ICD implantation, should be considered for patients with BrS.

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