a fortuitous syncope. the pitfalls of integrated bipolar defibrillator leads

a fortuitous syncope. the pitfalls of integrated bipolar defibrillator leads

;Tushar V Salukhe;Ian Wright;Matthew Wright;Prapa Kanagaratnam;Mark D O'Neill
Medical decision making : an international journal of the Society for Medical Decision Making 2008 Vol. 8 pp. 312-316
99
salukhe2008indiana

Abstract

Myopotential oversensing in implantable defibrillators causing inhibition of pacing and inappropriate therapies is well described. Current literature is dominated by reports of diaphragmatic muscle as the source of such far-field oversensing. Those reporting pectoral muscle sources were invariably due to unipolar sensing circuits, incorrect DF-1 connections or inappropriate programming. We report an interesting case of pectoral muscle myopotential oversensing causing inhibition of bradycardia pacing leading to presyncope and syncope.

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