Intradevice Interaction in a Dual Chamber Implantable Cardioverter Defibrillator Preventing Ventricular Tachyarrhythmia Detection

Intradevice Interaction in Dual Chamber ICD. Failure to detect ventricular tachycardia and/or ventricular fibrillation by implantable cardioverter defibrillators (ICDs) is a rare but serious problem. We report a case of failure to detect an episode of indueed ventricular tachycardia by a dual cbambe...

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Veröffentlicht in:Journal of cardiovascular electrophysiology 2000-11, Vol.11 (11), p.1285-1288
Hauptverfasser: SHIVKUMAR, KALYANAM, FELICIANO, ZENAIDA, BOYLE, NOEL G., WIENER, ISAAC
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container_end_page 1288
container_issue 11
container_start_page 1285
container_title Journal of cardiovascular electrophysiology
container_volume 11
creator SHIVKUMAR, KALYANAM
FELICIANO, ZENAIDA
BOYLE, NOEL G.
WIENER, ISAAC
description Intradevice Interaction in Dual Chamber ICD. Failure to detect ventricular tachycardia and/or ventricular fibrillation by implantable cardioverter defibrillators (ICDs) is a rare but serious problem. We report a case of failure to detect an episode of indueed ventricular tachycardia by a dual cbamber ICD, due to abbreviation of ventricular detection window secondary to programmed pacing parameters and a rate‐smoothing algorithm. In this patient, the intradevice interaction was corrected by programming rate‐smoothing off. This report highlights the potentially lethal consequences of critical timing relationships among the pacing function, arrhythmia detection, and the characteristics of the arrhythmia when using a modern dual chamber ICD. Physicians responsible for patients with ICDs must be aware of such interactions.
doi_str_mv 10.1046/j.1540-8167.2000.01285.x
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source MEDLINE; Wiley Online Library All Journals
subjects Algorithms
arrhythmia detection
Cardiac Pacing, Artificial - adverse effects
Defibrillators, Implantable - adverse effects
Equipment Failure
Female
Humans
implantable cardioverter defibrillator
Middle Aged
Software
Tachycardia, Ventricular - diagnosis
title Intradevice Interaction in a Dual Chamber Implantable Cardioverter Defibrillator Preventing Ventricular Tachyarrhythmia Detection
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