An inappropriate defibrillator shock during ventricular tachycardia.
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.10/1586 |
Resumo: | Ventricular oversensing in patients with defibrillators is an infrequent but deleterious condition. We report a patient with a cardiac resynchronization-defibrillation device that presented with hyperkalemia and syncope. Device interrogation revealed ventricular double-counting within the QRS of a slow ventricular tachycardia, resulting detection of the slow ventricular tachycardia in the ventricular fibrillation zone, and delivery of an effective therapy, below device programmed detection rate. This case of defibrillator inappropriate detection emphasizes the relevance of device electrogram interrogation in order to minimize inappropriate therapies. |
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spelling |
An inappropriate defibrillator shock during ventricular tachycardia.Implantable defibrillatorsElectrocardiographyHyperkalemiaVentricular tachycardiaDesfibrilhadores implantáveisTaquicardia ventricularVentricular oversensing in patients with defibrillators is an infrequent but deleterious condition. We report a patient with a cardiac resynchronization-defibrillation device that presented with hyperkalemia and syncope. Device interrogation revealed ventricular double-counting within the QRS of a slow ventricular tachycardia, resulting detection of the slow ventricular tachycardia in the ventricular fibrillation zone, and delivery of an effective therapy, below device programmed detection rate. This case of defibrillator inappropriate detection emphasizes the relevance of device electrogram interrogation in order to minimize inappropriate therapies.Indian Heart Rhythm SocietyRepositório do Hospital Prof. Doutor Fernando FonsecaFaustino, MMadeira, FMorais, C2016-03-28T11:23:01Z2015-01-01T00:00:00Z2015-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.10/1586engIndian Pacing Electrophysiol J. 2015 Oct 19;15(3):184-70972-629210.1016/j.ipej.2015.10.002info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-20T15:52:20Zoai:repositorio.hff.min-saude.pt:10400.10/1586Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:52:39.937873Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
An inappropriate defibrillator shock during ventricular tachycardia. |
title |
An inappropriate defibrillator shock during ventricular tachycardia. |
spellingShingle |
An inappropriate defibrillator shock during ventricular tachycardia. Faustino, M Implantable defibrillators Electrocardiography Hyperkalemia Ventricular tachycardia Desfibrilhadores implantáveis Taquicardia ventricular |
title_short |
An inappropriate defibrillator shock during ventricular tachycardia. |
title_full |
An inappropriate defibrillator shock during ventricular tachycardia. |
title_fullStr |
An inappropriate defibrillator shock during ventricular tachycardia. |
title_full_unstemmed |
An inappropriate defibrillator shock during ventricular tachycardia. |
title_sort |
An inappropriate defibrillator shock during ventricular tachycardia. |
author |
Faustino, M |
author_facet |
Faustino, M Madeira, F Morais, C |
author_role |
author |
author2 |
Madeira, F Morais, C |
author2_role |
author author |
dc.contributor.none.fl_str_mv |
Repositório do Hospital Prof. Doutor Fernando Fonseca |
dc.contributor.author.fl_str_mv |
Faustino, M Madeira, F Morais, C |
dc.subject.por.fl_str_mv |
Implantable defibrillators Electrocardiography Hyperkalemia Ventricular tachycardia Desfibrilhadores implantáveis Taquicardia ventricular |
topic |
Implantable defibrillators Electrocardiography Hyperkalemia Ventricular tachycardia Desfibrilhadores implantáveis Taquicardia ventricular |
description |
Ventricular oversensing in patients with defibrillators is an infrequent but deleterious condition. We report a patient with a cardiac resynchronization-defibrillation device that presented with hyperkalemia and syncope. Device interrogation revealed ventricular double-counting within the QRS of a slow ventricular tachycardia, resulting detection of the slow ventricular tachycardia in the ventricular fibrillation zone, and delivery of an effective therapy, below device programmed detection rate. This case of defibrillator inappropriate detection emphasizes the relevance of device electrogram interrogation in order to minimize inappropriate therapies. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-01-01T00:00:00Z 2015-01-01T00:00:00Z 2016-03-28T11:23:01Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.10/1586 |
url |
http://hdl.handle.net/10400.10/1586 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Indian Pacing Electrophysiol J. 2015 Oct 19;15(3):184-7 0972-6292 10.1016/j.ipej.2015.10.002 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Indian Heart Rhythm Society |
publisher.none.fl_str_mv |
Indian Heart Rhythm Society |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799130392443224064 |