title: [Optimisation of subcutaneous defibrillator programming after inappropriate shocks due to new onset of right bundle branch block].
abstract: The subcutaneous implantable defibrillator (S-ICD) has become an established tool for the prevention of sudden cardiac death. Based on its detection properties, the S‑ICD is essentially dependent on correct morphology discrimination of the QRS complex and avoidance of potential T‑wave sensing. We report on a patient who experienced multiple inappropriate S‑ICD shocks due to T‑wave oversensing in the setting of new onset of right bundle branch block. Strategies for the optimisation of the device programming are discussed.
authors.affiliation: Deutsches Herzzentrum München, Klinik für Herz- und Kreislauferkrankungen, Abteilung für Elektrophysiologie, Fakultät für Medizin, Technische Universität München, Lazarettstr. 36, 80636, München, Deutschland. Schaarschmidt@dhm.mhn.de.
authors.forename: Claudia
authors.initials: C
authors.lastname: Schaarschmidt
authors.affiliation: Deutsches Herzzentrum München, Klinik für Herz- und Kreislauferkrankungen, Abteilung für Elektrophysiologie, Fakultät für Medizin, Technische Universität München, Lazarettstr. 36, 80636, München, Deutschland.
authors.forename: Christof
authors.initials: C
authors.lastname: Kolb
mesh_terms: D000368:Aged; D002037:Bundle-Branch Block / Q000175:diagnosis / Q000517:prevention & control*; D017147:Defibrillators, Implantable / Q000009:adverse effects*; D003936:Diagnosis, Computer-Assisted / Q000009:adverse effects / Q000379:methods; D004556:Electric Injuries / Q000209:etiology* / Q000517:prevention & control*; D004868:Equipment Failure; D006333:Heart Failure / Q000175:diagnosis / Q000517:prevention & control*; D006801:Humans; D008297:Male; D019300:Medical Errors / Q000517:prevention & control*; D013813:Therapy, Computer-Assisted / Q000379:methods; D016896:Treatment Outcome
keywords: Detection; Inappropriate shock; Oversensing; Subcutaneous defibrillator; Sudden cardiac death