Lead switching to resolve undersensing of ventricular tachycardia by a cardiac resynchronization therapy defibrillator.

A 63‐year‐old man was admitted to the hospital due to ventricular tachycardia (VT) undersensing, caused by decreased R‐wave amplitude in a cardiac resynchronization therapy defibrillator. The R‐wave amplitude of VT sensed by the left ventricular (LV) lead was markedly higher than that by the right v...

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Detalles Bibliográficos
Publicado en:Pacing & Clinical Electrophysiology Vol. 46; no. 3; pp. 264 - 268
Autores principales: Kataoka, Shohei, Yagishita, Daigo, Yazaki, Kyoichiro, Hasegawa, Shun, Kanai, Miwa, Ejima, Koichiro, Shoda, Morio
Formato: case study tables/charts tracings Journal Article
Publicado: Wiley-Blackwell Mar2023
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:A 63‐year‐old man was admitted to the hospital due to ventricular tachycardia (VT) undersensing, caused by decreased R‐wave amplitude in a cardiac resynchronization therapy defibrillator. The R‐wave amplitude of VT sensed by the left ventricular (LV) lead was markedly higher than that by the right ventricular (RV) lead; therefore, we reconnected the IS‐1 RV lead to the LV IS‐1 port and the IS‐1 LV lead to the RV IS‐1 port to resolve this issue. After discharge, it was confirmed that VT was successfully terminated by the second sequence of intrinsic ATP (iATP, Medtronic, Minneapolis, MN, USA) from the LV lead.