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Oversensing of the wearable cardioverter defibrillator during bipolar ventricular stimulation

Zeitschrift:: Wiener klinische Wochenschrift > Ausgabe 23-24/2017

Autoren:: MD Martin Manninger, MSc Tanja Odeneg, MD, FESC Friedrich Fruhwald, MD Helmut Brussee, MD, FHRS, FESC Daniel Scherr

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Summary

The wearable cardioverter defibrillator (WCD) is a temporary treatment option for patients with potentially reversible risk of sudden cardiac death. This case demonstrates a pitfall during WCD usage in a pacemaker-dependent patient as well as a possible solution allowing continuation of WCD therapy. Bipolar stimulation may lead to double counting of the WCD detection algorithm resulting in false alarm or inappropriate therapy.

Priori SG, Blomstrom-Lundqvist C, Mazzanti A, Blom N, Borggrefe M, Camm J, et al. 2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: The Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC). Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC). Eur Heart J. 2015;36(41):2793–867. CrossRefPubMed

Kutyifa V, Moss AJ, Klein H, Biton Y, McNitt S, MacKecknie B, et al. Use of the wearable cardioverter defibrillator in high-risk cardiac patients: data from the Prospective Registry of Patients Using the Wearable Cardioverter Defibrillator (WEARIT-II Registry). Circulation. 2015;132(17):1613–9. CrossRefPubMed

LaPage MJ, Canter CE, Rhee EK. A fatal device-device interaction between a wearable automated defibrillator and a unipolar ventricular pacemaker. Pacing Clin Electrophysiol. 2008;31(7):912–5. CrossRefPubMed

Titel: Oversensing of the wearable cardioverter defibrillator during bipolar ventricular stimulation
Autoren:: MD Martin Manninger
MSc Tanja Odeneg
MD, FESC Friedrich Fruhwald
MD Helmut Brussee
MD, FHRS, FESC Daniel Scherr
Publikationsdatum: 09.11.2017
DOI: https://doi.org/10.1007/s00508-017-1290-z
Verlag: Springer Vienna
Zeitschrift: Wiener klinische Wochenschrift The Central European Journal of Medicine
Ausgabe 23-24/2017
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671

Springer Medizin Österreich

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