These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Inappropriate shocks from implanted cardioverter defibrillators caused by sensing of diaphragmatic myopotentials.
    Author: Peters RW, Cooklin M, Brockman R, Shorofsky SR, Gold MR.
    Journal: J Interv Card Electrophysiol; 1998 Dec; 2(4):367-70. PubMed ID: 10027123.
    Abstract:
    Inappropriate shocks remain one of the major problems associated with the use of implantable cardioverter defibrillators (ICD). We describe 3 patients who had inappropriate shocks due to oversensing of diaphragmatic myopotentials. In all 3, oversensing could be demonstrated during deep inspiration or Valsalva maneuver. The problem was remedied in one by insertion of a separate rate sensing lead in the right ventricular outflow tract, in the second by decreasing the rate of antibradycardia pacing of the ICD, and in the third by decreasing the sensitivity of the ICD. We conclude that the possibility of sensed diaphragmatic myopotentials should be considered at the time of ICD implant so that appropriate preventive measures can be taken.
    [Abstract] [Full Text] [Related] [New Search]