PMID: 9170134May 1, 1997Paper

Inappropriate management of self-terminating ventricular arrhythmias by implantable cardioverter defibrillators despite a specific reconfirmation algorithm: a report of two cases

Pacing and Clinical Electrophysiology : PACE
T M HurstB Waldecker

Abstract

Algorithms that attempt to reconfirm the presence of an arrhythmia prior to definite treatment have been implemented in ICDs to prevent inappropriate shock therapy due to self-terminating ventricular arrhythmias. Nevertheless, in two patients, clinically inappropriate shocks were delivered after spontaneous conversion of the arrhythmia despite the use of a specific reconfirmation algorithm. Reconfirmation criteria were met due to a premature ventricular complex causing a short cycle in the first patient and a long postextrasystolic pause in the second patient. To avoid inappropriate shock therapy due to self-terminating ventricular arrhythmias, further improvement of detection algorithms is required.

References

Oct 15, 1992·The American Journal of Cardiology·K A EllenbogenR J Damiano

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Citations

Jun 5, 2010·Annals of Noninvasive Electrocardiology : the Official Journal of the International Society for Holter and Noninvasive Electrocardiology, Inc·Michael A NaultAdrian Baranchuk
Sep 23, 1998·Pacing and Clinical Electrophysiology : PACE·P Schweitzer, D Hoffman

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