Use of a coronary sinus lead and biventricular ICD to correct a sensing abnormality in a patient with arrhythmogenic right ventricular dysplasia/cardiomyopathy

Journal of Cardiovascular Electrophysiology
Kenneth C BilchickJoseph E Marine

Abstract

Implantable cardioverter defibrillators (ICDs) are frequently offered to patients with arrhythmogenic right ventricular dysplasia/cardiomyopathy (ARVD/C). Yet ICDs in these patients may be complicated by poor sensed amplitudes resulting from fatty and fibrous tissue replacement of right ventricular myocardium. We present the case of a patient with ARVD/C who had inappropriate detection of ventricular tachycardia with a single-chamber ICD due to poor sensed right ventricular amplitudes. We discuss how the use of a bipolar coronary sinus lead and a biventricular ICD generator with a novel header configuration solved the problem.

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Citations

Dec 11, 2007·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Richard F OttenWilliam J Groh
Sep 2, 2009·Pacing and Clinical Electrophysiology : PACE·Wenjie XuRoss D Fletcher
Sep 8, 2011·Pacing and Clinical Electrophysiology : PACE·Imran NiaziJasbir Sra
Aug 29, 2007·Circulation·Elizabeth A Stephenson, Charles I Berul
Aug 8, 2008·Pacing and Clinical Electrophysiology : PACE·Ganesh VenkataramanRoss Fletcher

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