Destructive Device Removal - Sparks and Deletion of Therapy History From an Implantable Cardioverter Defibrillator
スポンサーリンク
概要
- 論文の詳細を見る
A 74-year-old female with a diagnosis of idiopathic dilated cardiomyopathy and ventricular tachycardia died suddenly 9 years after an implantation of an implantable cardioverter-defibrillator (ICD). The destructive removal of an ICD generator and the leads by an uninformed coroner resulted in the loss of the fragile electrograms during the terminal episodes of VT/VF and caused severe charring on the surface of the ICD generator.In order to observe the conditions in which the shock deliveries occurred during the noise detection, we programmed the ICD to deliver the maximum shock energy via a programmer while keeping continuous contact between the device surface and shock lead. The maximum shock energy of 31 Joules produced significant sparks from the surface of the ICD.To avoid the loss of data from an ICD and injury to the patient, widespread notification and education through appropriate scientific societies about the functions of ICDs are highly recommended.
- International Heart Journal刊行会の論文
著者
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Noda Takashi
Division of Cardiology, National Cardiovascular Center
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Kurita Takashi
Division Of Cardiology Department Of Internal Medicine National Cardiovascular Center
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Ueda Shigeyuki
Division of Cardiology, National Cardiovascular Center
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Miyazaki Shunichi
Division Of Cardiology Department Of Internal Kinki University School Of Medicine
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Shimizu Wataru
Division Of Arrhythmia And Electrophysiology Department Of Cardiology National Cerebral And Cardiova
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Okamura Hideo
Division Of Arrhythmia And Electrophysiology Department Of Cardiovascular Medicine National Cerebral
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Kamakura Shiro
Division Of Arrhythmia And Electrophysiology Department Of Cardiovascular Medicine National Cerebral
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SATOMI Kazuhiro
Division of Arrhythmias and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center
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Suyama Kazuhiro
Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center
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Aihara Naohiko
Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center
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Kamakura Shiro
Division of Cardiology, Department of Internal Medicine, National Cardiovascular Center
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Satomi Kazuhiro
Division of Cardiology, Department of Internal Medicine, National Cardiovascular Center
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Satomi Kazuhiro
Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Japan
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Noda Takashi
Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Japan
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Ueda Shigeyuki
Division of Cardiology, Department of Internal Medicine, National Cardiovascular Center
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Okamura Hideo
Division of Cardiology, Department of Internal Medicine, National Cardiovascular Center
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Satomi Kazuhiro
Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center
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