Inappropriate ICD discharge due to T-wave oversensing in a patient with the Brugada syndrome

J Interv Card Electrophysiol. 2006 Jan;15(1):65-8. doi: 10.1007/s10840-006-7623-x.

Abstract

Accurate sensing is an essential requirement for appropriate functioning of implantable cardioverter-defibrillator (ICD). T-wave oversensing remains as an annoying problem in currently available ICD. The Brugada syndrome with its inherent dynamic variations in electrophysiologic phenomena may complicate ICD therapy. We report a patient with diagnosis of Brugada syndrome who presented with frequent inappropriate therapy due to intermittent T-wave oversensing. This problem could not be eliminated by device reprogramming and necessitated implantation of a new sense/pace lead.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bundle-Branch Block / therapy*
  • Cardiac Pacing, Artificial
  • Defibrillators, Implantable / adverse effects*
  • Electric Impedance
  • Electrocardiography
  • Electrophysiologic Techniques, Cardiac
  • Equipment Failure
  • Humans
  • Male
  • Postoperative Complications / etiology
  • Postoperative Complications / therapy
  • Syndrome
  • Ventricular Fibrillation / etiology*
  • Ventricular Fibrillation / therapy