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 |
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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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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. 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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.</description><subject>Algorithms</subject><subject>arrhythmia detection</subject><subject>Cardiac Pacing, Artificial - adverse effects</subject><subject>Defibrillators, Implantable - adverse effects</subject><subject>Equipment Failure</subject><subject>Female</subject><subject>Humans</subject><subject>implantable cardioverter defibrillator</subject><subject>Middle Aged</subject><subject>Software</subject><subject>Tachycardia, Ventricular - diagnosis</subject><issn>1045-3873</issn><issn>1540-8167</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkM1v1DAQxS1ERT_gX0A-cUtqx7GTPXBAaWkXVaKHwtUaOxPWq3wsk2TpHvnPcboruHKaJ_m9N-MfY1yKVIrcXG9TqXORlNIUaSaESIXMSp0-v2IXfx9eRy1ynaiyUOfschy3QkhlhH7DzqUUpcq0vGC_1_1EUOM-eORRI4GfwtDz0HPgNzO0vNpA55D4utu10E_gWuQVUB2GPVIM8BtsgqPQtjANxB8J99hPof_Bv8dJwc8tEH8CvzkA0eYwbboQq3HCl01v2VkD7YjvTvOKfft8-1TdJw9f79bVp4fEK6N10qyaptRooBRegzIqj3_QrpBOgjOItXJSZ6AlYF57k4NrhI5oVrpwGmqvrtiHY--Ohp8zjpPtwugxXt3jMI-2yHJpViqLxvJo9DSMI2FjdxQ6oIOVwi747dYulO1C2S747Qt--xyj7087Ztdh_S944h0NH4-GX6HFw38X2y_V7aLUH8Tglq8</recordid><startdate>200011</startdate><enddate>200011</enddate><creator>SHIVKUMAR, KALYANAM</creator><creator>FELICIANO, ZENAIDA</creator><creator>BOYLE, NOEL G.</creator><creator>WIENER, ISAAC</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200011</creationdate><title>Intradevice Interaction in a Dual Chamber Implantable Cardioverter Defibrillator Preventing Ventricular Tachyarrhythmia Detection</title><author>SHIVKUMAR, KALYANAM ; FELICIANO, ZENAIDA ; BOYLE, NOEL G. ; WIENER, ISAAC</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3655-f9ff85e6a80c5a36341085b71b1ab6eed3b152a51ae4dc64abf05000957b5adc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Algorithms</topic><topic>arrhythmia detection</topic><topic>Cardiac Pacing, Artificial - adverse effects</topic><topic>Defibrillators, Implantable - adverse effects</topic><topic>Equipment Failure</topic><topic>Female</topic><topic>Humans</topic><topic>implantable cardioverter defibrillator</topic><topic>Middle Aged</topic><topic>Software</topic><topic>Tachycardia, Ventricular - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SHIVKUMAR, KALYANAM</creatorcontrib><creatorcontrib>FELICIANO, ZENAIDA</creatorcontrib><creatorcontrib>BOYLE, NOEL G.</creatorcontrib><creatorcontrib>WIENER, ISAAC</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cardiovascular electrophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SHIVKUMAR, KALYANAM</au><au>FELICIANO, ZENAIDA</au><au>BOYLE, NOEL G.</au><au>WIENER, ISAAC</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intradevice Interaction in a Dual Chamber Implantable Cardioverter Defibrillator Preventing Ventricular Tachyarrhythmia Detection</atitle><jtitle>Journal of cardiovascular electrophysiology</jtitle><addtitle>J Cardiovasc Electrophysiol</addtitle><date>2000-11</date><risdate>2000</risdate><volume>11</volume><issue>11</issue><spage>1285</spage><epage>1288</epage><pages>1285-1288</pages><issn>1045-3873</issn><eissn>1540-8167</eissn><abstract>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.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>11083251</pmid><doi>10.1046/j.1540-8167.2000.01285.x</doi><tpages>4</tpages></addata></record> |
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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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