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Europace Advance Access published online on March 14, 2006
Europace, doi:10.1093/europace/euj047
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© The European Society of Cardiology 2006. All rights reserved
Received October 10, 2005
Accepted November 18, 2005

Article

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

Mitchell I. Cohen 1 *, Roy Jedeikin 1, Sharon Pfeiffer 1, and Scott Pedersen 1

1 Department of Pediatric Cardiology, Phoenix Children's Hospital, 1920 E. Cambridge Avenue, Suite 301, Phoenix, AZ 85006, USA

* To whom correspondence should be addressed.
Mitchell I. Cohen, E-mail: mitchell_cohen{at}pediatrix.com


  Abstract

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.

Keywords: Pacemaker; ICD; Fontan; Unipolar/bipolar.
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