T-wave oversensing with biventricular pacing - Revista ...

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Dec 21, 2012 - A 41 year old man with complete AV block, dilated cardiomyopathy and biventricular ICD in situ developed T wave oversensing during an ...
Revista Iberoamericana de Arritmología – ria

Reporte de Caso

DOI: 10.5031/v4i1.RIA10206

Sobresensado de onda T producida por marcapaseo biventricular T wave oversensing produced by biventricular pacing 1

2

Jane C Caldwell , Pablo A Chiale , Adrian Baranchuk

1

1

Heart Rhythm Service, Queen’s University, Kingston, Ontario, Canada

2

Centro de Arritmias Cardíacas de la Ciudad Autónoma de Buenos Aires, División

Cardiología, Hospital General de Agudos J.M. Ramos Mejía, Buenos Aires, Argentina

Key words: T wave Biventricular pacing

oversensing; Conflict of Interest: None

Word count: 94 A 41 year old man with complete AV

premature ventricular beats (FS). Rather

block,

and

than risk underdetection during VF by

biventricular ICD in situ developed T wave

increasing the ventricular sense threshold,

oversensing during an episode of atrial

the problem was solved by increasing the

tachycardia. This oversensing, highlighted

post ventricular pacing ventricular blanking

by solid blue circles, was only associated

period.

with biventricular paced beats (BV on

biventricular pacing were prevented by

marker channel) and not, as indicated by

diaphragmatic stimulation.

dilated

cardiomyopathy

Alternative

configurations

the dotted blue circle, with spontaneous

Correspondencia: Dr Adrian Baranchuk, Associate Professor of Medicine, Clinical Electrophysiology and Pacing, Kingston General Hospital K7L 2V7 Queen's University Fax: 613 548 1387 Email: [email protected]

www.ria-online.com

Jan 13 Vol. 4 No. 1

1

of

Revista Iberoamericana de Arritmología – ria

Reporte de Caso

DOI: 10.5031/v4i1.RIA10206

www.ria-online.com

Jan 13 Vol. 4 No. 1

2