Use of a coronary sinus lead and biventricular ICD to correct a sensing abnormality in a patient with arrhythmogenic right ventricular dysplasia/cardiomyopathy

Kenneth C. Bilchick, Daniel P. Judge, Hugh Calkins, Joseph E. Marine

Research output: Contribution to journalArticle

Abstract

Implantable cardioverter defibrillators (ICDs) are frequently offered to patients with arrhythmogenic right ventricular dysplasia/cardiomyopathy (ARVD/C). Yet ICDs in these patients may be complicated by poor sensed amplitudes resulting from fatty and fibrous tissue replacement of right ventricular myocardium. We present the case of a patient with ARVD/C who had inappropriate detection of ventricular tachycardia with a single-chamber ICD due to poor sensed right ventricular amplitudes. We discuss how the use of a bipolar coronary sinus lead and a biventricular ICD generator with a novel header configuration solved the problem.

Original languageEnglish (US)
Pages (from-to)317-320
Number of pages4
JournalJournal of cardiovascular electrophysiology
Volume17
Issue number3
DOIs
StatePublished - Mar 1 2006

Keywords

  • Arrhythmogenic right ventricular dysplasia
  • Biventricular pacing
  • Cardiomyopathy
  • Coronary sinus
  • Implantable cardioverter-defibrillator

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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