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Unexpected Discharge from an Implanted Automatic Defibrillator
Authors:GIUSEPPE CRITELLI  MD    CESARE GRECO  MD    MARIA AMBROSINI  MD    RICCARDO SINATRA  MD    BENEDETTO MARINO  MD  ATTILIO REALE  MD
Institution:From the Department of Cardiology and Cardiovascular Surgery, University of Rome "La Sapienza", Rome, Italy
Abstract:The occurrence of inappropriate discharge from an implanted cardioverter-defibrillator is reported. The device was triggered by an episode of induced nonsustained ventricular tachycardia, and the shock was delivered 10 sec after spontaneous termination of the arrhythmia.
This observation demonstrates that unexpected discharges from an implanted cardiaverter/defibrillator can occur while the patient is asymptomatic. In order to avoid such an adverse effect, improvement of the detection system of the device is advisable.
Keywords:Implantable defibrillator  unnecessary shock delivery  ventricular fibrillation  ventricular tachycardia
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