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Europace 2002 4(4):427-430; doi:10.1053/eupc.2002.0263
© 2002 by European Society of Cardiology
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CASE REPORT

Inappropriate high-rate ventricular pacing in a patient with a defibrillator

S. Zaim1, H. Sunthorn1, J.-J. Adatte1, K. Kürsteiner1, D. Burgener2 and C. Huehn2

1Division of Cardiology, University Hospital of Geneva Geneva, Switzerland; 2Department of Medicine, University Hospital of Geneva Geneva, Switzerland

We describe a patient who presented with high rate ventricular pacing secondary to dysfunction of his implantable cardioverter defibrillator (ICD). The device was also unable to communicate with the programmer and unable to treat ventricular fibrillation. Immediate disconnection of the ICD from the leads was the only effective recourse. Subsequent detailed technical analysis of the device revealed a different electrical circuit problem from that found in typical cases of runaway pacing. To our knowledge this is the first description of a malfunction of precisely this nature.

Key Words: High rate pacing, runaway pacemaker, ICD, malfunction

Correspondence: Sina Zaim, MD, Division of Cardiology, New Jersey Medical School, 185 S. Orange Avenue, Newark, NJ, 07103-2714, USA. Tel: (001) 973-972-1969; fax: (001) 973-972-1969; email: szaimmd{at}hotmail.com


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