Inappropriate implantable cardioverter defibrillator discharge from sensing of external alternating current leak

J Interv Card Electrophysiol. 2002 Oct;7(2):181-4. doi: 10.1023/a:1020846007149.

Abstract

Implantable cardioverter defibrillators (ICDs) are now an accepted and effective therapy for treatment of survivors of sudden cardiac death (SCD) and prevention of SCD in high-risk patients. Normal ICD function and delivery of therapy depends on appropriate sensing and detection of myocardial electrical potentials. Electromagnetic interference resulting in ICD malfunction is a well-documented phenomenon, however, there are less well-known external sources of interference, which may cause life threatening ICD malfunction. We report a unique case of repeated inappropriate ICD shocks in a ten-year old boy caused by the ICD sensing alternating current from an unexpected external source.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Defibrillators, Implantable / adverse effects*
  • Electricity
  • Equipment Design
  • Equipment Failure
  • Humans
  • Male
  • Ventricular Dysfunction, Left / congenital
  • Ventricular Dysfunction, Left / therapy*