Vol 67, No 7 (2009)
Other
Published online: 2009-07-17
Invasive electrophysiology
Ventricular bigeminy as a cause of CRT inefficacy and inappropriate cardioverter-defibrillator intervention
DOI: 10.33963/v.kp.80100
Kardiol Pol 2009;67(7):807-811.
Abstract
Double counting of ventricular beats is not only one of the cause of an inappropriate detection of ventricular arrhythmias but a reason of lost of resynchronisation therapy. Sensing disturbances often creates the need for reprogramming of the device or additional pharmacotherapy and procedures.
We present a case of 76-year-old man with CRT-D and inappropriate detection and intervention due to ventricular bigeminy. Fortunately, change of device program, potassium and magnesium supplementation was successful, without necessity of RF ablation of the ventricular ectopic beats.
We present a case of 76-year-old man with CRT-D and inappropriate detection and intervention due to ventricular bigeminy. Fortunately, change of device program, potassium and magnesium supplementation was successful, without necessity of RF ablation of the ventricular ectopic beats.
Keywords: ventricular bigeminyheart failurecardiac resynchronisation therapycardioverter-defibrillatorinappropriate shocks