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INAPPROPRIATE S-ICD PATIENT RECEIVES FALSE POSITIVE SHOCKS


Autoři: David Korpas
Působiště autorů: Institute of Nursing, Faculty of Public Policies, Silesian University, Opava, Czech Republic
Vyšlo v časopise: Lékař a technika - Clinician and Technology No. 2, 2020, 50, 69-72
Kategorie: Původní práce
doi: https://doi.org/10.14311/CTJ.2020.2.05

Souhrn

Subcutaneous implantable cardioverter defibrillator (S-ICD) protects the patients at risk for sudden cardiac death while leaving the heart and vasculature untouched. It provides life-saving therapy, but may also deliver inappropriate therapy. Presented case demonstrates a possibility of S-ICD therapy induction due to double-counting. It was original caused by lack of suitable sensing vectors and the solution was possible just particularly. As the inter-individual variability of subcutaneous cardiac signal is considerable, the patient screening should be necessary for identification of such patients, which have an unsuitable subcutaneous sensing signals.

Klíčová slova:

false-positive therapy – defibrillation – implantable cardioverter-defibrillator – patient screening


Zdroje
  1. Weiss R, Knight BP, Gold MR, Leon AR, Herre JM, Hood M, et al. Safety and efficacy of a totally subcutaneous implantable-cardioverter defibrillator. Circulation. 2013 Aug 27;128(9): 944–53. DOI: 10.1161/CIRCULATIONAHA.113.003042
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  5. Zeb M, Curzen N, Veldtman G, Yue A, Roberts P, Wilson D, et al. Potential eligibility of congenital heart disease patients for subcutaneous implantable cardioverter-defibrillator based on surface electrocardiogram mapping. Europace. 2015 Feb 12; 17(7),1059–67. DOI: 10.1093/europace/euu375
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