Document Detail


T-wave oversensing by an implantable cardioverter defibrillator after successful ablation of idiopathic ventricular fibrillation.
MedLine Citation:
PMID:  16650276     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Focal ablation of trigger premature ventricular complexes (PVCs) from the Purkinje system helped to suppress idiopathic ventricular fibrillation (VF) in an athlete who had suffered from frequent appropriate shock therapies. However, only a few days after successful ablation T-wave oversensing occurred during exercise and resulted in repetitive distressing defibrillator shocks. Despite lack of any changes on the surface ECG, the endocardially recorded electrogram revealed an unfavorable ratio of R-to-T-wave amplitude predisposing to double counting with accelerated heart rates. This case illustrates that T-wave oversensing may complicate the clinical course after successful ablation of malignant Purkinje ectopy.
Authors:
Bernhard Strohmer; Christiana Schernthaner; Maximilian Pichler
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  29     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  2006 Apr 
Date Detail:
Created Date:  2006-05-02     Completed Date:  2006-09-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  431-5     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Salzburger Landeskliniken, Paracelsus Private Medical University, Salzburg, Austria. B.Strohmer@salk.at
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MeSH Terms
Descriptor/Qualifier:
Adult
Catheter Ablation*
Defibrillators, Implantable / adverse effects*
Diagnostic Errors*
Electrocardiography / adverse effects*,  methods*
Equipment Failure
Humans
Male
Ventricular Fibrillation / diagnosis*,  etiology*,  prevention & control

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


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