A single shock during an episode of ventricular tachycardia: is the device working properly?
Emergency department admissions due to implantable cardioverter-defibrillator (ICD) shocks constitute an important patient group. The correct evaluation includes a review of system integrity and a careful analysis of stored intracardiac electrograms. We present a patient admitted with a single ICD discharge due to an episode of sustained monomorphic ventricular tachycardia, and an unexpected finding.
Cardiac Arrhythmia and Electrophysiology Unit, Department of Cardiology, Hospital Virgen de la Salud, Toledo, Spain.
Jesus
J
Jimenez-Lopez
Miguel A
MA
Arias
Finn
F
Akerstrom
Marta
M
Pachon
Alberto
A
Puchol