Left ventricular assist device implantation outcomes in patients with subcutaneous implantable cardioverter-defibrillators: A case series

Left ventricular assist devices (LVADs) may induce electromagnetic interference (EMI) affecting implanted cardiac devices, including more novel subcutaneous implantable cardiac defibrillators (S-ICDs). In this case series, the authors retrospectively reviewed courses of 6 patients with S-ICDs who un...

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Veröffentlicht in:American heart journal plus 2024-09, Vol.45, p.100426, Article 100426
Hauptverfasser: Nusbickel, Alex J., Petty, Stephen Allan, Ross, Steven J., Parker, Alex, Vilaro, Juan, Ahmed, Mustafa M.
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Sprache:eng
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Zusammenfassung:Left ventricular assist devices (LVADs) may induce electromagnetic interference (EMI) affecting implanted cardiac devices, including more novel subcutaneous implantable cardiac defibrillators (S-ICDs). In this case series, the authors retrospectively reviewed courses of 6 patients with S-ICDs who underwent LVAD implantation at a single center. Of the 6 patients reviewed, 4 experienced inappropriate ICD shocks, of which 3 resulted from EMI. Five of the 6 patients ultimately had S-ICD therapies disabled. Due to EMI resulting in inappropriate shocks and improved tolerability of malignant arrhythmias, deactivation or removal of S-ICDs should be considered in patients undergoing LVAD implantation.
ISSN:2666-6022
2666-6022
DOI:10.1016/j.ahjo.2024.100426