Adverse device-device interaction between pacemaker and subcutaneous implantable cardiac defibrillator

Nicholas Abbott; Aron Bender; Charles Henrikson; Jared Miller; Babak Nazer; Seshadri Balaji

doi:10.1111/pace.14325

Adverse device-device interaction between pacemaker and subcutaneous implantable cardiac defibrillator

Nicholas Abbott, Aron Bender, Charles Henrikson, Jared Miller, Babak Nazer, Seshadri Balaji

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

A 26-year-old patient with prior surgery for Ebstein's anomaly and a pacemaker (placed for post-surgical heart block and poor underlying rhythm) underwent SICD was placement. During defibrillation testing, device-device interaction led to undersensing of ventricular fibrillation with failure to shock. Increasing the pacemaker sensitivity resolved the problem but post shock pacing was unable to capture the heart after both shocks. The patient underwent removal of both the pacemaker and the SICD and placement of a transvenous ICD. Complex device-device interactions can occur in patients who are pacemaker dependent and undergo placement of a SICD.

Original language	English (US)
Pages (from-to)	1944-1948
Number of pages	5
Journal	PACE - Pacing and Clinical Electrophysiology
Volume	44
Issue number	11
DOIs	https://doi.org/10.1111/pace.14325
State	Published - Nov 2021

Keywords

CHD
Ebstein's anomaly
S-ICD
cross-talk
undersensing

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1111/pace.14325

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title = "Adverse device-device interaction between pacemaker and subcutaneous implantable cardiac defibrillator",

abstract = "A 26-year-old patient with prior surgery for Ebstein's anomaly and a pacemaker (placed for post-surgical heart block and poor underlying rhythm) underwent SICD was placement. During defibrillation testing, device-device interaction led to undersensing of ventricular fibrillation with failure to shock. Increasing the pacemaker sensitivity resolved the problem but post shock pacing was unable to capture the heart after both shocks. The patient underwent removal of both the pacemaker and the SICD and placement of a transvenous ICD. Complex device-device interactions can occur in patients who are pacemaker dependent and undergo placement of a SICD.",

keywords = "CHD, Ebstein's anomaly, S-ICD, cross-talk, undersensing",

author = "Nicholas Abbott and Aron Bender and Charles Henrikson and Jared Miller and Babak Nazer and Seshadri Balaji",

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AU - Abbott, Nicholas

AU - Bender, Aron

AU - Henrikson, Charles

AU - Miller, Jared

AU - Nazer, Babak

AU - Balaji, Seshadri

PY - 2021/11

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N2 - A 26-year-old patient with prior surgery for Ebstein's anomaly and a pacemaker (placed for post-surgical heart block and poor underlying rhythm) underwent SICD was placement. During defibrillation testing, device-device interaction led to undersensing of ventricular fibrillation with failure to shock. Increasing the pacemaker sensitivity resolved the problem but post shock pacing was unable to capture the heart after both shocks. The patient underwent removal of both the pacemaker and the SICD and placement of a transvenous ICD. Complex device-device interactions can occur in patients who are pacemaker dependent and undergo placement of a SICD.

AB - A 26-year-old patient with prior surgery for Ebstein's anomaly and a pacemaker (placed for post-surgical heart block and poor underlying rhythm) underwent SICD was placement. During defibrillation testing, device-device interaction led to undersensing of ventricular fibrillation with failure to shock. Increasing the pacemaker sensitivity resolved the problem but post shock pacing was unable to capture the heart after both shocks. The patient underwent removal of both the pacemaker and the SICD and placement of a transvenous ICD. Complex device-device interactions can occur in patients who are pacemaker dependent and undergo placement of a SICD.

KW - CHD

KW - Ebstein's anomaly

KW - S-ICD

KW - cross-talk

KW - undersensing

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Adverse device-device interaction between pacemaker and subcutaneous implantable cardiac defibrillator

Abstract

Keywords

ASJC Scopus subject areas

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