A Shocking Case of Far-Field Atrial Oversensing in Giant-Cell Myocarditis

JACC: Case Reports

Stephen Melnick, DO¹  Tanuka Datta, MD²  Bharaniabirami Rajaram, MD³  Behzad B. Pavri, MD³ 

[1] Department of Internal Medicine, Division of Cardiology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA;Address for correspondence: Dr. Tanuka Datta, Jefferson Heart Institute, 925 Chestnut Street, Mezzanine, Philadelphia, Pennsylvania 19107, USA.;Department of Internal Medicine, Division of Cardiology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA;

关键词: cardiac pacemaker;    cardiomyopathy;    supraventricular arrhythmias;    ventricular tachycardia;   

DOI  :  

来源: DOAJ

【 摘 要 】

We report a unique case of delivery of inappropriate implantable cardioverter-defibrillator therapies related to a “perfect storm”: presence of an integrated lead, insufficient lead slack related to right heart dilation resulting in shock coil misplacement, myocarditis with loss of R waves, and the concomitant occurrence of an incessant atrial tachycardia. (Level of Difficulty: Advanced.)

【 授权许可】

Unknown