Unfortunately Fortunate: Self-Terminating Device-Initiated Tachyarrhythmia in a Patient With a History of Idiopathic Lead Migration

An 88-year-old female presented with inappropriate implantable cardioverter-defibrillator shocks. Interrogation revealed lead noise sensed as ventricular fibrillation, leading to 11 shocks in 1 day. A defibrillation at the period of maximal vulnerability caused true ventricular fibrillation/ventricu...

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Detalles Bibliográficos
Autores principales: Ryaboy, Ilya V., Peele, Mark E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Mini-Focus Issue: Electrophysiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8298317/
https://www.ncbi.nlm.nih.gov/pubmed/34317207
http://dx.doi.org/10.1016/j.jaccas.2019.11.031
Descripción
Sumario:An 88-year-old female presented with inappropriate implantable cardioverter-defibrillator shocks. Interrogation revealed lead noise sensed as ventricular fibrillation, leading to 11 shocks in 1 day. A defibrillation at the period of maximal vulnerability caused true ventricular fibrillation/ventricular tachycardia and additional shocks, which failed to terminate device-initiated tachyarrhythmia. The patient recovered spontaneously and the device was reprogrammed. (Level of Difficulty: Intermediate.)

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