S-ICD lead dislodgement in a young isometric athlete: A rare complication.
defibrillator
isometric exercise
lead dislodgement
myopotential
subcutaneous implantable cardioverter defibrillator
Journal
Pacing and clinical electrophysiology : PACE
ISSN: 1540-8159
Titre abrégé: Pacing Clin Electrophysiol
Pays: United States
ID NLM: 7803944
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
received:
25
03
2020
revised:
10
05
2020
accepted:
24
05
2020
pubmed:
28
5
2020
medline:
5
10
2021
entrez:
28
5
2020
Statut:
ppublish
Résumé
The subcutaneous implantable cardioverter defibrillator (S-ICD) is an alternative to transvenous ICD in patients who do not need cardiac pacing. We report the case of a young isometric athlete who received S-ICD for primary prevention of sudden death. Lead dislodgement and myopotential noise oversensing during isometric training led to inappropriate shock, and a surgical revision was performed. During the procedure, strong fibrous adhesions were found, requiring polytetrafluoroethylene dilator sheaths. The S-ICD was finally reimplanted. Despite continued isometric training, no more myopotential oversensing occurred after 1-year follow-up. The present case highlights the possible higher risks of lead complication in an isometric athlete and the uncommon effort in removing an old-generation subcutaneous defibrillator lead.
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
898-900Informations de copyright
© 2020 Wiley Periodicals LLC.
Références
Migliore F, Allocca G, Calzolari V, et al. Intermuscular two-incision technique for subcutaneous implantable cardioverter defibrillator implantation: results from a multicenter registry. Pacing Clin Electrophysiol. 2017;40:278-285.
Corzani A, Ziacchi M, Biffi M, Diemberger I, Martignani C, Boriani G. Inappropriate shock for myopotential over-sensing in a patient with subcutaneous ICD. Indian Heart J. 2015;67:56-59.
Winter J, Siekiera M, Shin D-I, et al. Intermuscular technique for implantation of the subcutaneous implantable cardioverter defibrillator: long-term performance and complications. Europace. 2017;19:2036-2041.