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Automatic implantable defibrillator discharge resulting from routine pacemaker programming.

A middle-aged gentleman with an idiopathic dilated cardiomyopathy, drug-refractory sustained ventricular arrhythmia, and high-degree AV block was managed with an automatic implantable cardioverter-defibrillator (AICD) and a Cordis Multicor II VVI pacemaker. During a routine follow-up visit, the pace...

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Published in:Pacing & Clinical Electrophysiology Vol. 11; no. 3; pp. 336 - 339
Main Authors: Gottlieb C, Miller JM, Rosenthal ME, Marchlinski FE
Format: case study Journal Article
Published: Wiley-Blackwell Mar1988
Online Access:View this record in EBSCOhost
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Automatic implantable defibrillator discharge resulting from routine pacemaker programming.
      aug:
        au:
          Gottlieb C
          Miller JM
          Rosenthal ME
          Marchlinski FE
      sug:
        subj:
          Cardioversion Equipment and Supplies
          Pacemaker, Artificial
          Prostheses and Implants
          Electrocardiography
          Equipment Failure
          Male
          Middle Age
          Middle Aged: 45-64 years
          Male
      ab: A middle-aged gentleman with an idiopathic dilated cardiomyopathy, drug-refractory sustained ventricular arrhythmia, and high-degree AV block was managed with an automatic implantable cardioverter-defibrillator (AICD) and a Cordis Multicor II VVI pacemaker. During a routine follow-up visit, the pacemaker threshold was determined. Seven seconds after reprogramming the Cordis pacemaker to the 'star' VVI mode, the AICD discharged. The time to discharge after reprogramming the pacemaker equalled the previously determined AICD charge time. No other rhythm disturbance was documented and the rate with double counting of pacemaker stimulus and QRS complex was less than the triggering rate for the AICD. In conclusion, the AICD can be triggered by pacemaker programming signals unrelated to subsequent pacemaker function.
      pubtype: Academic Journal
      doctype:
        case study
        Journal Article
      ougenre: Article
    language: English
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