105 Inappropriate ICD Shocks in a Patient with Dilated Cardiomyopathy and Broca’s Aphasia

With a growing number of ICD recipients, device complications are seen more frequently in the clinical setting and outpatient departments. Among the most severe are ICD infections and inappropriate therapies caused by oversensing of atrial tachycardias or lead fracture. We report on a 76-year-old fe...

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Main Authors: Christian Georgi, Michael Neuß, Viviane Möller, Martin Seifert, Christian Butter
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2019/8302591
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author Christian Georgi
Michael Neuß
Viviane Möller
Martin Seifert
Christian Butter
author_facet Christian Georgi
Michael Neuß
Viviane Möller
Martin Seifert
Christian Butter
author_sort Christian Georgi
collection DOAJ
description With a growing number of ICD recipients, device complications are seen more frequently in the clinical setting and outpatient departments. Among the most severe are ICD infections and inappropriate therapies caused by oversensing of atrial tachycardias or lead fracture. We report on a 76-year-old female patient with dilative cardiomyopathy and Broca’s aphasia after stroke, who experienced 105 consecutive inappropriate ICD shocks due to cluster missensing of her fractured ICD lead. The diagnosis was complicated and delayed by patient’s aphasia emphasizing the need for intensified remote monitoring along with regular in-person visits, especially in people with intellectual or communication disabilities.
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issn 2090-6404
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series Case Reports in Cardiology
spelling doaj-art-9add077278cb44e3a4efcedd4a6260642025-08-20T03:36:53ZengWileyCase Reports in Cardiology2090-64042090-64122019-01-01201910.1155/2019/83025918302591105 Inappropriate ICD Shocks in a Patient with Dilated Cardiomyopathy and Broca’s AphasiaChristian Georgi0Michael Neuß1Viviane Möller2Martin Seifert3Christian Butter4Heart Center Brandenburg-Department of Cardiology and Medical School Brandenburg Theodor Fontane, Bernau bei Berlin, GermanyHeart Center Brandenburg-Department of Cardiology and Medical School Brandenburg Theodor Fontane, Bernau bei Berlin, GermanyHeart Center Brandenburg-Department of Cardiology and Medical School Brandenburg Theodor Fontane, Bernau bei Berlin, GermanyHeart Center Brandenburg-Department of Cardiology and Medical School Brandenburg Theodor Fontane, Bernau bei Berlin, GermanyHeart Center Brandenburg-Department of Cardiology and Medical School Brandenburg Theodor Fontane, Bernau bei Berlin, GermanyWith a growing number of ICD recipients, device complications are seen more frequently in the clinical setting and outpatient departments. Among the most severe are ICD infections and inappropriate therapies caused by oversensing of atrial tachycardias or lead fracture. We report on a 76-year-old female patient with dilative cardiomyopathy and Broca’s aphasia after stroke, who experienced 105 consecutive inappropriate ICD shocks due to cluster missensing of her fractured ICD lead. The diagnosis was complicated and delayed by patient’s aphasia emphasizing the need for intensified remote monitoring along with regular in-person visits, especially in people with intellectual or communication disabilities.http://dx.doi.org/10.1155/2019/8302591
spellingShingle Christian Georgi
Michael Neuß
Viviane Möller
Martin Seifert
Christian Butter
105 Inappropriate ICD Shocks in a Patient with Dilated Cardiomyopathy and Broca’s Aphasia
Case Reports in Cardiology
title 105 Inappropriate ICD Shocks in a Patient with Dilated Cardiomyopathy and Broca’s Aphasia
title_full 105 Inappropriate ICD Shocks in a Patient with Dilated Cardiomyopathy and Broca’s Aphasia
title_fullStr 105 Inappropriate ICD Shocks in a Patient with Dilated Cardiomyopathy and Broca’s Aphasia
title_full_unstemmed 105 Inappropriate ICD Shocks in a Patient with Dilated Cardiomyopathy and Broca’s Aphasia
title_short 105 Inappropriate ICD Shocks in a Patient with Dilated Cardiomyopathy and Broca’s Aphasia
title_sort 105 inappropriate icd shocks in a patient with dilated cardiomyopathy and broca s aphasia
url http://dx.doi.org/10.1155/2019/8302591
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