ICD Discrimination of SVT Versus VT with 1:1 V-A Conduction: A Review of the Literature

Overview

Journal Indian Pacing Electrophysiol J

Date 2016 May 3

PMID 27134440

Citations 3

Authors

Rhanderson N Cardoso

Chris Healy

Juan Viles-Gonzalez

James O Coffey

Affiliations

Soon will be listed here.

Abstract

Inappropriate ICD shocks are associated with increased mortality. They also impair patients' quality of life, increase hospitalizations, and raise health-care costs. Nearly 80% of inappropriate ICD shocks are caused by supraventricular tachycardia. Here we report the case of a patient who received a single-lead dual-chamber sensing ICD for primary prevention of sudden cardiac death and experienced inappropriate ICD shocks. V-A time, electrogram morphology, and response to antitachycardia pacing suggested atrioventricular nodal reentry tachycardia, which was confirmed in an electrophysiology study. Inspired by this case, we performed a literature review to discuss mechanisms for discrimination of supraventricular tachycardia with 1:1 A:V relationship from ventricular tachycardia with 1:1 retrograde conduction.

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Repeated misclassifications of tachycardia by an implantable cardiac defibrillator.

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