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1. [Optimisation of subcutaneous defibrillator programming after inappropriate shocks due to new onset of right bundle branch block].

Author

Schaarschmidt C and Kolb C

Subjects
Aged, Bundle-Branch Block diagnosis, Diagnosis, Computer-Assisted adverse effects, Diagnosis, Computer-Assisted methods, Equipment Failure, Heart Failure diagnosis, Humans, Male, Therapy, Computer-Assisted methods, Treatment Outcome, Bundle-Branch Block prevention & control, Defibrillators, Implantable adverse effects, Electric Injuries etiology, Electric Injuries prevention & control, Heart Failure prevention & control, Medical Errors prevention & control
Abstract

The subcutaneous implantable defibrillator (S-ICD) has become an established tool for the prevention of sudden cardiac death. Based on its detection properties, the S‑ICD is essentially dependent on correct morphology discrimination of the QRS complex and avoidance of potential T‑wave sensing. We report on a patient who experienced multiple inappropriate S‑ICD shocks due to T‑wave oversensing in the setting of new onset of right bundle branch block. Strategies for the optimisation of the device programming are discussed.

Published
2016
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