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Europace Advance Access originally published online on August 6, 2009
Europace 2009 11(11):1549-1551; doi:10.1093/europace/eup213
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org.

SHORT COMMUNICATIONS

A prospective experience with the lead integrity alert: new certainties and new uncertainties

Thorben Koenig*, Ajmal Gardiwal, Hanno Oswald and Gunnar Klein

Department of Cardiovascular Medicine, Hannover Medical School, Carl-Neuberg Strasse 1, D-30625 Hannover, Germany

Lead fracture is one of the major complications in implantable cardioverter defibrillator (ICD) therapy often leading to a series of inadequate shocks and thus greatly impairing quality of life of patients. The novel lead integrity alert algorithm by Medtronic (Medtronic Inc., Minneapolis, MN, USA) is addressing this problem. We report a case of a lead failure being correctly predicted by shifting lead impedances about 4 weeks before the first episode of oversensing. Additionally, our case illustrates the new problem of how to clinically handle a patient with a highly probable, but not completely certain, ICD-lead failure.

* Corresponding author: Tel: +49 511 532 6523, Fax: +49 511 532 8475, Email: koenig.thorben{at}mh-hannover.de

Manuscript submitted 17 June 2009. Accepted after revision 10 July 2009.


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