Unipolar ventricular pacing reduces inappropriate shocks from a separate cardioverter defibrillator in a post-Fontan patient

Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology
Mitchell I CohenScott Pedersen

Abstract

This report describes a 20-year-old man with complex congenital heart disease and inappropriate epicardial implantable cardioverter defibrillator (ICD) shocks secondary to double counting of ventricular-paced spikes and QRS complexes from a separate bipolar epicardial dual-chamber pacemaker. Adjusting to a unipolar paced-ventricular mode resolved any double counting via pacemaker-ICD interaction.

References

Feb 1, 1992·Circulation·D J DriscollG K Danielson
Sep 1, 1990·Journal of the American College of Cardiology·H CalkinsJ H Levine
Jun 1, 1988·Pacing and Clinical Electrophysiology : PACE·A I CohenA A Delnegro
Dec 11, 1997·Pacing and Clinical Electrophysiology : PACE·S MattkeG Steinbeck
Mar 30, 2001·The Journal of Thoracic and Cardiovascular Surgery·M I CohenL A Rhodes

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