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Europace Advance Access originally published online on September 6, 2007
Europace 2007 9(11):1059-1060; doi:10.1093/europace/eum186
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© The European Society of Cardiology 2007. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

ICDS

Fatal outcome from inappropriate defibrillation

Hany Dimitri, Bobby John, Glenn D. Young and Prashanthan Sanders*

Cardiovascular Research Centre, Department of Cardiology, Royal Adelaide Hospital and the Disciplines of Medicine and Physiology, University of Adelaide, Adelaide, South Australia 5000, Australia

We present a 51-year-old morbidly obese man who underwent insertion of a single-chamber implantable cardioverter defibrillator for monomorphic ventricular tachycardia occurring after myocardial infarction. After a period of satisfactory device function, a sudden change in R-wave with atrial over-sensing heralded inappropriate defibrillation and induction of ventricular fibrillation, with subsequent death of the patient.

Key Words: Ventricular tachycardia, ventricular fibrillation, inappropriate shock, fefibrillation, implantable cardioverter defibrillator, lead dislodgement

* Corresponding author. Tel: + 61 8 8222 2723; fax: + 61 8 8222 2722. E-mail address: prash.sanders{at}adelaide.edu.au

Manuscript submitted 26 June 2007. Accepted after revision 3 August 2007.


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