Document Detail

Inappropriate implantable cardioverter-defibrillator therapy due to the detection of premature ventricular complexes.
MedLine Citation:
PMID:  10353148     Owner:  NLM     Status:  MEDLINE    
Inappropriate shocks delivered by implantable cardioverter-defibrillators may occur in 15%-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 further inappropriate shocks.
J J Goldberger; G Horvath; R Challapalli; A H Kadish
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  22     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  1999 May 
Date Detail:
Created Date:  1999-07-26     Completed Date:  1999-07-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  825-8     Citation Subset:  IM    
Department of Medicine, Northwestern University, Chicago, Illinois, USA.
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MeSH Terms
Defibrillators, Implantable / standards*
Electric Countershock / adverse effects*
Follow-Up Studies
Heart Rate
Middle Aged
Ventricular Fibrillation / complications,  therapy*
Ventricular Premature Complexes / complications*,  physiopathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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