Variability of atrial sensing during exercise in a patient with a dual chamber ICD caused inappropriate ICD discharges

被引：7

作者：

Glotzer, TV

Radoslovich, GA

Neglia, J

Zimmerman, JM

机构：

[1] Hackensack Univ Med Ctr, Sect Electrophysiol, Hackensack, NJ 07601 USA

[2] Medtron Inc, Minneapolis, MN USA

来源：

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 1999年 / 22卷 / 12期

关键词：

ICD; atrial sensing; inappropriate discharge;

D O I：

10.1111/j.1540-8159.1999.tb00424.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We present the case of a patient with a dual chamber implantable cardioverter defibrillator (ICD) who experienced inappropriate ICD discharges during exercise. Interrogation of the ICD revealed intermittent atrial undersensing during exercise that was responsible for the erroneous classification by the ICD of sinus tachycardia as ventricular tachycardia. Monitoring of the intracardiac electrograms and Marker Channels during an exercise test confirmed a marked decrease in P wave amplitude during exercise. By increasing the atrial sensitivity setting the problem wets resolved.

引用

页码：1838 / 1841

页数：4

共 10 条

[1] RELIABILITY OF AN AUTOMATIC SENSING ALGORITHM [J].

BERG, M ;

FROHLIG, G ;

SCHWERDT, H ;

BECKER, R ;

SCHIEFFER, H .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1992, 15 (11) :1880-1885

[2] DECREASE IN CANINE ENDOCARDIAL AND EPICARDIAL ELECTROGRAM VOLTAGES WITH EXERCISE - IMPLICATIONS FOR PACEMAKER SENSING [J].

BRICKER, JT ;

WARD, KA ;

ZINNER, A ;

GILLETTE, PC .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1988, 11 (04) :460-464

[3] THE USE OF EXERCISE TESTING IN CHILDREN TO EVALUATE ABNORMALITIES OF PACEMAKER FUNCTION NOT APPARENT AT REST [J].

BRICKER, JT ;

GARSON, A ;

TRAWEEK, MS ;

SMITH, RT ;

WARD, KA ;

VARGO, TA ;

GILLETTE, PC .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1985, 8 (05) :656-660

[4] Evaluation of autosensing as an automatic means of maintaining a 2:1 sensing safety margin in an implanted pacemaker [J].

Castro, A ;

Liebold, A ;

Vincente, J ;

Dungan, T ;

Allen, JC .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1996, 19 (11) :1708-1713

[5] ATRIAL SIGNAL VARIATIONS AND PACEMAKER MALSENSING DURING EXERCISE - A STUDY IN THE TIME AND FREQUENCY-DOMAIN [J].

FROHLIG, G ;

SCHWERDT, H ;

SCHIEFFER, H ;

BETTE, L .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1988, 11 (04) :806-813

[6] LONG-TERM STABILITY OF P-WAVE SENSING IN SINGLE-LEAD VDDR PACING - CLINICAL VERSUS SUBCLINICAL ATRIAL UNDERSENSING [J].

LAU, CP ;

TAI, YT ;

LEUNG, SK ;

LEUNG, WH ;

CHUNG, FLW ;

LEE, ISF .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1994, 17 (11) :1849-1853

[7] Comparative evaluation of acute and long-term clinical performance of two single lead atrial synchronous ventricular (VDD) pacemakers: Diagonally arranged bipolar versus closely spaced bipolar ring electrodes [J].

Lau, CP ;

Leung, SK ;

Lee, ISF .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1996, 19 (11) :1574-1581

[8]

*MEDTR INC, GEM DR SYST REF GUID

[9] PHYSICAL DETERMINANTS OF THE ENDOCARDIAL P-WAVE [J].

SHANDLING, AH ;

FLORIO, J ;

CASTELLANET, MJ ;

MESSENGER, JC ;

CRUMP, R ;

EVANS, K ;

RYLAARSDAM, A ;

NOLASCO, M .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1990, 13 (12) :1585-1589

[10] ATRIAL SENSING PERFORMANCE OF THE SINGLE-LEAD VDD PACEMAKER DURING EXERCISE [J].

VARRIALE, P ;

CHRYSSOS, BE .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1993, 22 (07) :1854-1857

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