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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...

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Published in:Pacing & Clinical Electrophysiology Vol. 10; no. 3; pp. 579 - 583
Main Authors: Kim SG, Furman S, Matos JA, Waspe LE, Brodman R, Fisher JD
Format: Journal Article
Published: Wiley-Blackwell May1987
Online Access:View this record in EBSCOhost
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      dt: May1987
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Automatic implantable cardioverter/defibrillator: inadvertent discharges during permanent pacemaker magnet tests.
      aug:
        au:
          Kim SG
          Furman S
          Matos JA
          Waspe LE
          Brodman R
          Fisher JD
      sug:
      ab: 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.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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