Inappropriate implantable cardioverter-defibrillator therapy due to the detection of premature ventricular complexes

被引:5
作者
Goldberger, JJ [1 ]
Horvath, G [1 ]
Challapalli, R [1 ]
Kadish, AH [1 ]
机构
[1] Northwestern Univ, Dept Med, Div Cardiol, Chicago, IL 60611 USA
来源
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 1999年 / 22卷 / 05期
关键词
implantable cardioverter defibrillator; inappropriate shocks;
D O I
10.1111/j.1540-8159.1999.tb00553.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Inappropriate shocks delivered by implantable cardioverter-defibrillators may occur in 25%-40% of patients treated with these devices. This article describes a rare cause for inappropriate shocks. Two patients received inappropriate shocks due to the presence of premature ventricular complexes during attempted reconfirmation of ventricular fibrillation. Knowledge of device algorithms for detection and reconfirmation of ventricular fibrillation, designed to have a high degree of sensitivity and therefore lower specificity, allows for reprogramming to avoid fur ther inappropriate shocks.
引用
收藏
页码:825 / 828
页数:4
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