A Shocking Case of Far-Field Atrial Oversensing in Giant-Cell Myocarditis

We report a unique case of delivery of inappropriate implantable cardioverter-defibrillator therapies related to a “perfect storm”: presence of an integrated lead, insufficient lead slack related to right heart dilation resulting in shock coil misplacement, myocarditis with loss of R waves, and the...

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Detalles Bibliográficos
Autores principales: Datta, Tanuka, Melnick, Stephen, Rajaram, Bharaniabirami, Pavri, Behzad B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Mini-Focus Issue: Electrophysiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8302787/
https://www.ncbi.nlm.nih.gov/pubmed/34317586
http://dx.doi.org/10.1016/j.jaccas.2021.02.041
Descripción
Sumario:We report a unique case of delivery of inappropriate implantable cardioverter-defibrillator therapies related to a “perfect storm”: presence of an integrated lead, insufficient lead slack related to right heart dilation resulting in shock coil misplacement, myocarditis with loss of R waves, and the concomitant occurrence of an incessant atrial tachycardia. (Level of Difficulty: Advanced.)

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