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Europace Advance Access published online on April 4, 2008
Europace, doi:10.1093/europace/eun095
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

CASE REPORT

Automatic R-wave and impedance testing with the modern patient alert system to reduce inappropriate implantable cardioverter defibrillator shocks due to lead fracture

Masaomi Chinushi1,*, Yukio Hosaka2, Noboru Ikarashi2, Kenichi Iijima2, Hiroshi Furushima2 and Yoshifusa Aizawa2

1 School of Health Science, Niigata University School of Medicine, 2-746 Asahimachi, Chuou-ku, Niigata 951-8518, Japan; 2 First Department of Internal Medicine, Niigata University School of Medicine, Niigata 951-8518, Japan

A 62-year-old man was afflicted with implantable cardioverter defibrillator (ICD) shocks during sinus rhythm. Stored ICD data revealed that sensing of noise due to fracture of the ventricular lead triggered the delivery of shocks. Since the lead fracture developed suddenly, it is suggested that close, early attention should be paid to the potential of such events during follow-up of ICD leads.

* Corresponding author. Tel: +81 25 227 2185; fax: +81 25 227 0774. E-mail address: masaomi{at}clg.niigata-u.ac.jp

Manuscript submitted 22 January 2008. Accepted after revision 24 March 2008.


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