Inappropriate Discharges From an Intravenous Implantable Cardioverter Defibrillator Due to T-Wave Oversensing
スポンサーリンク
概要
- 論文の詳細を見る
This report describes the clinical management of 2 patients with ventricular fibrillation (VF) who received inappropriate shocks from an implantable cardioverter defibrillator (ICD) due to T-wave oversensing. Cardiac sarcoidosis was confirmed as the underlying heart disease in 1 patient and idiopathic dilated cardiomyopathy in the other. Within 2 months after ICD implantation, both patients received several inappropriate shocks during sinus rhythm. Stored electrograms showed decreased R-wave amplitudes and increased T-wave amplitudes. The ICD sensed both R- and T-waves as ventricular activation, which met the rate criteria for VF treatment. Reprogramming the sensing threshold in association with administration of a drug to slow the heart rate decreased the incidence of the inappropriate shocks in both patients, but these palliative measures did not completely suppress the inappropriate shocks. To avoid T-wave oversensing, the repositioning or adding of a sensing lead is required. The potential risk of T-wave oversensing in ICD patients who have small R-wave amplitudes should be recognized.
- 社団法人日本循環器学会の論文
- 2001-06-20
著者
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Chinushi Masaomi
First Department Of Internal Medicine Niigata University School Of Medicine
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Hosaka Yukio
First Department Of Internal Medicine Niigata University School Of Medicine
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Washizuka Takashi
First Department Of Internal Medicine Niigata University School Of Medicine
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Watanabe Hiroshi
First Department of Internal Medicine Niigata University Hospital
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Kasai Hidehiro
The First Department Of Internal Medicine Niigata University School Of Medicine
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Hosaka Yukio
Division Of Cardiology Niigata University Graduate School Of Medical And Dental Science
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Abe Akira
First Department of Internal Medicine, Niigata Universaity School of Medicine
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Abe Akira
The First Department Of Internal Medicine Niigata University School Of Medicine
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Tagawa Minoru
Divisions Of Cardiology Niigata University Graduate School Of Medical And Dental Sciences
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Washizuka Takashi
Division Of Cardiology Niigata University Graduate School Of Medical And Dental Science
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Kasai Hidehiro
First Department Of Internal Medicine Niigata University School Of Medicine
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Tagawa Minoru
First Department of Internal Medicine, Niigata University School of Medicine
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Watanabe Hiroshi
Division Of Cardiology Niigata University Graduate School Of Medical And Dental Science
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Aizawa Yoshifusa
First Department Of Internal Medicine Niigata Universaity School Of Medicine
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Abe Akira
First Department Of Internal Medicine Niigata University School Of Medicine
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WASHIZUKA Takashi
First Department of Internal Medecine, Niigata University School of Medicine, Niigata, Japan.
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