title: Effectiveness of implantation of a subcutaneous implantable cardioverter-defibrillator in a patient with complete heart block and a pacemaker.
abstract: The subcutaneous implantable cardioverter-defibrillator (S-ICD) represents an important alternative to traditional ICD therapy. The major limitation of this technology is the inability to provide pacing. Here, we present a case of a patient with complete heart block and a pacemaker who underwent placement of an S-ICD. Special considerations had to be taken with regards to evaluation and implantation of the S-ICD because of the pacemaker. In conclusion, implantation of an S-ICD can be done in patients with pacemaker effectively with appropriate electrocardiographic screening, device testing, and programming.
authors.affiliation: Division of Cardiology, Department of Medicine, University of Virginia Health System, Charlottesville, Virginia.
authors.forename: Christopher
authors.initials: C
authors.lastname: Porterfield
authors.affiliation: Division of Cardiology, Department of Medicine, University of Virginia Health System, Charlottesville, Virginia.
authors.forename: John P
authors.initials: JP
authors.lastname: DiMarco
authors.affiliation: Division of Cardiology, Department of Medicine, University of Virginia Health System, Charlottesville, Virginia. Electronic address: pkm5f@virginia.edu.
authors.forename: Pamela K
authors.initials: PK
authors.lastname: Mason
mesh_terms: D054537:Atrioventricular Block / Q000503:physiopathology / Q000628:therapy*; D058406:Cardiac Resynchronization Therapy / Q000379:methods*; D017147:Defibrillators, Implantable; D004562:Electrocardiography; D005500:Follow-Up Studies; D006339:Heart Rate / Q000502:physiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial