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Europace Advance Access originally published online on March 14, 2006
Europace 2006 8(4):293-296; doi:10.1093/europace/euj047
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© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

ICD

Unipolar ventricular pacing reduces inappropriate shocks from a separate cardioverter defibrillator in a post-Fontan patient

Mitchell I. Cohen*, Roy Jedeikin, Sharon Pfeiffer and Scott Pedersen

Department of Pediatric CardiologyPhoenix Children's Hospital1920 E. Cambridge Avenue, Suite 301, Phoenix, AZ 85006 USA

This report describes a 20-year-old man with complex congenital heart disease and inappropriate epicardial implantable cardioverter defibrillator (ICD) shocks secondary to double counting of ventricular-paced spikes and QRS complexes from a separate bipolar epicardial dual-chamber pacemaker. Adjusting to a unipolar paced-ventricular mode resolved any double counting via pacemaker–ICD interaction.

Key Words: Pacemaker, ICD, Fontan, Unipolar/bipolar

* Corresponding author. Tel: +1 602 253 6000; fax: +1 602 256 2878. E-mail address: mitchell_cohen{at}pediatrix.com


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