Automatic implantable cardioverter/defibrillator: inadvertent discharges during permanent pacemaker magnet tests.
A patient with an automatic impIantable cardioverter defibrillator (AICD)(R) received two inadvertent shacks when a magnet was placed over the pacer during a routine permanent pacer check. Analysis of the rhythm strip suggested that both patients' QRS complexes (133 beats/minute) and asynchronous pa...
| Publicado en: | Pacing & Clinical Electrophysiology Vol. 10; no. 3; pp. 579 - 583 |
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| Autores principales: | , , , , , |
| Formato: | Journal Article |
| Publicado: |
Wiley-Blackwell
May1987
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| Acceso en línea: | Ver este registro en EBSCOhost |
| Sumario: | A patient with an automatic impIantable cardioverter defibrillator (AICD)(R) received two inadvertent shacks when a magnet was placed over the pacer during a routine permanent pacer check. Analysis of the rhythm strip suggested that both patients' QRS complexes (133 beats/minute) and asynchronous pacer artifacts (70 beats/minute) were counted by the AICD sensing system and exceeded the rate criteria of 153 beats/minute. This resulted in shocks from the AICD during sinus rhythm at 133 beats/minute. To avoid possible inadvertent shocks, an AICD should be deactivated while a magnet is placed over the pacemaker during a permanent pacer check. |
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