Unipolar pacer artifacts induced failure of an automatic implantable cardioverter/defibrillator to detect ventricular fibrillation

Soo G. Kim; Seymour Furman; Lawrence E. Waspe; Richard Brodman; John D. Fisher

doi:10.1016/0002-9149(86)90634-X

Unipolar pacer artifacts induced failure of an automatic implantable cardioverter/defibrillator to detect ventricular fibrillation

Soo G. Kim, Seymour Furman, Lawrence E. Waspe, Richard Brodman, John D. Fisher

Medicine

Research output: Contribution to journal › Article › peer-review

62 Scopus citations

Abstract

The automatic implantable cardioverter-defibrillator (AICD^®)^1-5 has been implanted in over 500 patients with life-threatening ventricular arrhythmias. For detection of ventricular tachycardia or fibrillation (VF), the sensing system of the standard AICD uses a combination of the rate of electric signals received by sensing leads, and a probability density function.^1-3 Because of the nature of sensing system of the AICD, several kinds of interactions with temporary or permanent pacemakers have been described.^4,6 We have observed another phenomenon: failure of an AICD to detect VF due to large electrical signals from a unipolar pacemaker.

Original language	English (US)
Pages (from-to)	880-881
Number of pages	2
Journal	The American Journal of Cardiology
Volume	57
Issue number	10
DOIs	https://doi.org/10.1016/0002-9149(86)90634-X
State	Published - Apr 1 1986

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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abstract = "The automatic implantable cardioverter-defibrillator (AICD{\textregistered})1-5 has been implanted in over 500 patients with life-threatening ventricular arrhythmias. For detection of ventricular tachycardia or fibrillation (VF), the sensing system of the standard AICD uses a combination of the rate of electric signals received by sensing leads, and a probability density function.1-3 Because of the nature of sensing system of the AICD, several kinds of interactions with temporary or permanent pacemakers have been described.4,6 We have observed another phenomenon: failure of an AICD to detect VF due to large electrical signals from a unipolar pacemaker.",

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AU - Kim, Soo G.

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AU - Brodman, Richard

AU - Fisher, John D.

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AB - The automatic implantable cardioverter-defibrillator (AICD®)1-5 has been implanted in over 500 patients with life-threatening ventricular arrhythmias. For detection of ventricular tachycardia or fibrillation (VF), the sensing system of the standard AICD uses a combination of the rate of electric signals received by sensing leads, and a probability density function.1-3 Because of the nature of sensing system of the AICD, several kinds of interactions with temporary or permanent pacemakers have been described.4,6 We have observed another phenomenon: failure of an AICD to detect VF due to large electrical signals from a unipolar pacemaker.

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Unipolar pacer artifacts induced failure of an automatic implantable cardioverter/defibrillator to detect ventricular fibrillation

Abstract

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