Using left-ventricular-only pacing to eliminate T-wave oversensing in a biventricular implantable cardiac defibrillator

Clarence Khoo; Matthew Bennett; Santabhanu Chakrabarti; John LeMaitre; Stanley K K Tung

doi:10.1016/j.cjca.2012.06.005

Using left-ventricular-only pacing to eliminate T-wave oversensing in a biventricular implantable cardiac defibrillator

Can J Cardiol. 2013 Feb;29(2):254.e5-7. doi: 10.1016/j.cjca.2012.06.005. Epub 2012 Aug 15.

Authors

Clarence Khoo¹, Matthew Bennett, Santabhanu Chakrabarti, John LeMaitre, Stanley K K Tung

Affiliation

¹ Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada.

PMID: 22902157
DOI: 10.1016/j.cjca.2012.06.005

Abstract

A man aged 75 years and with nonischemic cardiomyopathy had implantation of a biventricular implantable cardiac defibrillator (ICD). Consistent biventricular pacing was limited by intermittent T-wave oversensing (TWOS). A strategy of left-ventricular-only pacing was used to eliminate TWOS. This strategy obviates the need to reduce ventricular sensitivity and thus may be an effective alternative to biventricular pacing complicated by TWOS.

Publication types

Case Reports

MeSH terms

Aged
Cardiac Resynchronization Therapy / methods*
Defibrillators, Implantable*
Electrocardiography*
Equipment Failure
Heart Failure / complications
Heart Failure / physiopathology
Heart Failure / therapy*
Humans
Male
Tachycardia, Ventricular / complications
Tachycardia, Ventricular / therapy*