A fatal device-device interaction between a wearable automated defibrillator and a unipolar ventricular pacemaker

被引：13

作者：

Lapage, Martin J. ^{[1
]}

Canter, Charles E. ^{[1
]}

Rhee, Edward K. ^{[2
]}

机构：

[1] Washington Univ, Sch Med, Dept Pediat, Div Pediat Cardiol, St Louis, MO 63110 USA

[2] St Josephs Hosp, Heart & Lung Inst, Phoenix, AZ USA

来源：

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 2008年 / 31卷 / 07期

关键词：

defibrillation; ICD; electrophysiology; clinical; pacing; pediatrics; VT;

D O I：

10.1111/j.1540-8159.2008.01110.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report a fatal device-device interaction between a wearable automated defibrillator (WAD; LifeVest - LifeCor, Inc., Pittsburgh, PA, USA) and a unipolar pacemaker that occurred in an 18-year-old patient listed for cardiac transplantation due to his failing Fontan. The patient developed ventricular tachycardia that was initially detected by the WAD. However, large unipolar pacing artifacts and specific WAD arrhythmia detection algorithms caused the WAD to revert to nonrecognition of the arrhythmia, which lead to the patient's death. We identify likely causes of the failure and suggest methods of preventing such occurrences in the future.

引用

页码：912 / 915

页数：4

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