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Europace 2005 7(2):193-196; doi:10.1016/j.eupc.2004.09.010
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© 2005 The European Society of Cardiology. Published by Elsevier Ltd. All rights reserved.

CASE REPORT

Inappropriate implantable cardioverter–defibrillator shock due to external alternating current leak: Report of two cases

Ngai Yin Chan* and Lillian Wai-Ling Ho

Princess Margaret Hospital, Department of Medicine and Geriatrics 2-10 Princess Margaret Hospital Road, Lai Chi Kok Kowloon, Hong Kong

Two cases are reported of inappropriate implantable cardioverter–defibrillator shocks due to external alternating current leak. Electromagnetic interference (EMI) can mimic cardiac signals and cause inappropriate implantable cardioverter–defibrillator (ICD) shocks. EMI can arise from the normal functioning of electrical appliances or from alternating current leak. The two cases had inappropriate ICD shocks due to alternating current leak from a power drill in one and a washing machine in the other. The need for detailed advice on handling electrical equipment is emphasized.

Key Words: implantable cardioverter–defibrillator, electromagnetic interference, alternating current

*Corresponding author. Tel.: +852 29903322; fax: +852 29903329. E-mail address: nywlchan{at}yahoo.com (N.Y. Chan).


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