Termination of Ventricular Tachycardia with Antitachycardia Pacing after Ineffective Shock Therapy in an ICD Recipient with Hypertrophic Cardiomyopathy
PubMed ID
19165362
Abstract
Implantable Cardioverter Defibrillator (ICD) implantation is the only established therapy for primary or secondary prevention of sudden cardiac death in patients with Hypertrophic Cardiomyopathy (HCM). Ineffectiveness of shock therapy for the termination of potentially fatal ventricular arrhythmias in ICD recipients is rare in the presence of appropriate arrhythmia detection by the device. We report the case of a 48-year-old woman with HCM and a single chamber ICD, who received five inefficient high-energy (35 Joules) shocks for the termination of an appropriately detected episode of Ventricular Tachycardia (VT). The episode was safely terminated with a subsequent application of Antitachycardia Pacing (ATP) by the device. At the following ICD control, an acceptable defibrillation threshold was detected.
Date Issued
2009
Publication Type
Article
Language(s)
en
Author(s)
Margos, Panagiotis N | |
Schomburg, Rolf | |
Kynast, Jorg | |
Richardt, Gert |
Additional Credits
Journal
Indian pacing and electrophysiology journal
Publisher
Indian Pacing and Electrophysiology Group
ISSN
0972-6292
ISBN
19165362
Access(Rights)
metadata.only