title: Inadequate ICD discharges due to diaphragmatic electromyopotential oversensing as the first sign of right ventricular lead perforation.
abstract: Right ventricular lead perforation, when acute, is a rare but potentially life-threatening complication of implantable cardioverter defibrillator (ICD) therapy. We report about a patient with early lead perforation presenting with repetitive ICD discharges due to oversensing of diaphragmatic electromyopotentials and describe the management of this complication.
authors.affiliation: Universitätsklinikum Schleswig-Holstein Campus Lübeck, Medizinische Klinik II, Lübeck, Germany. uwe.wiegand@medinf.mu-luebeck.de
authors.forename: Uwe K H
authors.initials: UK
authors.lastname: Wiegand
authors.forename: Iris
authors.initials: I
authors.lastname: Wilke
authors.forename: Hendrik
authors.initials: H
authors.lastname: Bonnemeier
authors.forename: Frank
authors.initials: F
authors.lastname: Eberhardt
authors.forename: Frank
authors.initials: F
authors.lastname: Bode
mesh_terms: D000200:Action Potentials; D000368:Aged; D017147:Defibrillators, Implantable / Q000009:adverse effects*; D003964:Diaphragm / Q000503:physiopathology*; D004594:Electrophysiology; D006352:Heart Ventricles / Q000293:injuries*; D006801:Humans; D008297:Male; D011475:Prosthesis Failure