Inappropriate shock delivery due to ventricular double detection with a biventricular pacing implantable cardioverter defibrillator

被引：15

作者：

Schreieck, J

Zrenner, B

Kolb, C

Ndrepepa, G

Schmitt, C

机构：

[1] Tech Univ Munich, Klinikum Rechts Isar, Med Klin 1, D-80636 Munich, Germany

[2] Tech Univ Munich, Deutsch Herzzentrum Munchen, Klin Herzkreislauferkrankungen, D-80636 Munich, Germany

来源：

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 2001年 / 24卷 / 07期

关键词：

ICDs; biventricular pacing; double detection; inappropriate discharges;

D O I：

10.1046/j.1460-9592.2001.01154.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This report describes a patient with advanced heart failure, pronounced intraventricular conduction delay, and ventricular tachycardias who underwent implantation of a multisite pacing ICD. Pacing leads were placed in the right atrium, right ventricular apex, and to the left ventricular posterior wall via a coronary sinus vein. The system proved to have correct sensing and pacing function in an atria] synchronized biventricular pacing mode and an appropriate detection of ventricular fibrillation. However, 1 month after implantation the patient received an inappropriate shock delivery due to double detection of ventricular premature beats. The inherent detection problem of dual ventricular sensing is discussed.

引用

页码：1154 / 1157

页数：4