Automatic implantable defibrillator discharge resulting from routine pacemaker programming.

Publication/Presentation Date

3-1-1988

Abstract

A middle-aged gentleman with an idiopathic dilated cardiomyopathy, drug-refractory sustained ventricular arrhythmia, and high-degree AV block was managed with an automatic implantable cardioverter-defibrillator (AICD) and a Cordis Multicor II VVI pacemaker. During a routine follow-up visit, the pacemaker threshold was determined. Seven seconds after reprogramming the Cordis pacemaker to the "stat" VVI mode, the AICD discharged. The time to discharge after reprogramming the pacemaker equalled the previously determined AICD charge time. No other rhythm disturbance was documented and the rate with double counting of pacemaker stimulus and QRS complex was less than the triggering rate for the AICD. In conclusion, the AICD can be triggered by pacemaker programming signals unrelated to subsequent pacemaker function.

Volume

11

Issue

3

First Page

336

Last Page

338

ISSN

0147-8389

Disciplines

Medicine and Health Sciences

PubMedID

2452422

Department(s)

Department of Medicine

Document Type

Article

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