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Titolo:
AN UNUSUAL SERIES OF COMPLICATIONS DURING THERAPY WITH AN IMPLANTABLECARDIOVERTER-DEFIBRILLATOR
Autore:
PETERS W; HOPP H; BAUER WR; KOWALLIK P; MEESMANN M;
Indirizzi:
UNIV WURZBURG,MED KLIN,JOSEF SCHNEIDER STR 2 D-97080 WURZBURG GERMANY UNIV WURZBURG,HERZ & THORAXCHIRURG KLIN D-97080 WURZBURG GERMANY
Titolo Testata:
Zeitschrift fur Kardiologie
fascicolo: 4, volume: 84, anno: 1995,
pagine: 296 - 300
SICI:
0300-5860(1995)84:4<296:AUSOCD>2.0.ZU;2-F
Fonte:
ISI
Lingua:
GER
Soggetto:
SYSTEM;
Keywords:
ICD; PREMATURE BATTERY DEPLETION; INSULATION DEFECT; OVERSENSING; BEEPOGRAM;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
15
Recensione:
Indirizzi per estratti:
Citazione:
W. Peters et al., "AN UNUSUAL SERIES OF COMPLICATIONS DURING THERAPY WITH AN IMPLANTABLECARDIOVERTER-DEFIBRILLATOR", Zeitschrift fur Kardiologie, 84(4), 1995, pp. 296-300

Abstract

A 48-year-old man with dilative cardiomyopathy and a history of resuscitation due to ventricular fibrillation received an implantable cardioverter-defibrillator (ICD) with epicardial sensing and defibrillationelectrodes in March 1990. An early battery depletion due to increasedelectrical leakage of a filter capacitor necessitated a generator exchange in July 1990. Subsequent inappropriate discharges occurred, but no underlying cause could be documented by history, clinical examination, Holter monitoring, and beepograms. Only 3 months later was it possible to demonstrate oversensing by repeated beepograms, and a new generator and transvenous sensing electrode were implanted in October 1991. Four months later, inappropriate shocks were suspected again. Once mon, history, clinical examination, Holter monitoring, and beepograms were without pathological result. At follow-up, repeated beepograms during exercise demonstrated an oversensing, and an insulation defect of the newly implanted sensing electrode close to the edge of the generator could be documented on x-ray. Since replacement of generator and sensing electrode in July 1992 the patient is doing well. He received two appropriate shocks which were associated with presyncope. ICD therapy is very complex and therefore should only be performed in centers providing the necessary personel, apparative and logistic conditions.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/07/20 alle ore 03:50:38