title: [Mismanagement in the arrhythmia recognition algorithm of the LifeVest® with consecutive fatal outcome].
abstract: We describe for the first time the misinterpretation of a wearable cardioverter defibrillator in the arrhythmia recognition algorithm with subsequent fatal outcome of a multi-morbid patient with an ischemic cardiomyopathy and a highly reduced left ventricular pump function (30 %). The patient's death was preceded by a life-threatening shockable rhythm which was repeatedly documented, but ultimately not correctly recognized by the system and therefore not treated.
authors.affiliation: Internistische Intensivstation, Johannes Wesling Klinikum Minden, Akademisches Lehrkrankenhaus der medizinischen Hochschule Hannover, Minden, Deutschland. michele.sorleto@muehlenkreiskliniken.de.|, Hans-Nolte-Straße 1, 32429, Minden, Deutschland. michele.sorleto@muehlenkreiskliniken.de.
authors.forename: M
authors.initials: M
authors.lastname: Sorleto
authors.affiliation: Internistische Intensivstation, Johannes Wesling Klinikum Minden, Akademisches Lehrkrankenhaus der medizinischen Hochschule Hannover, Minden, Deutschland. Helge.Wuttig@muehlenkreiskliniken.de.
authors.forename: H
authors.initials: H
authors.lastname: Wuttig
authors.affiliation: Internistische Intensivstation, Johannes Wesling Klinikum Minden, Akademisches Lehrkrankenhaus der medizinischen Hochschule Hannover, Minden, Deutschland. erdemaydilek@hotmail.com.
authors.forename: E
authors.initials: E
authors.lastname: Aydilek
authors.affiliation: Internistische Intensivstation, Johannes Wesling Klinikum Minden, Akademisches Lehrkrankenhaus der medizinischen Hochschule Hannover, Minden, Deutschland. marcus.wiemer@muehlenkreiskliniken.de.
authors.forename: M
authors.initials: M
authors.lastname: Wiemer
mesh_terms: D000465:Algorithms; D016757:Death, Sudden, Cardiac / Q000209:etiology*; D047548:Defibrillators / Q000009:adverse effects*; D003936:Diagnosis, Computer-Assisted / Q000009:adverse effects*; D004556:Electric Injuries / Q000175:diagnosis / Q000209:etiology*; D004867:Equipment Design; D004868:Equipment Failure; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D019300:Medical Errors / Q000009:adverse effects / Q000517:prevention & control; D008875:Middle Aged; D013813:Therapy, Computer-Assisted / Q000379:methods; D017211:Treatment Failure
keywords: Arrhythmia; LifeVest®; Misinterpretation; Sudden cardiac arrest; Wearable cardioverter defibrillator
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