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

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: Hindawi Limited 2019-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2019/8302591
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spelling doaj-9add077278cb44e3a4efcedd4a6260642020-11-25T00:02:27ZengHindawi LimitedCase 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
collection DOAJ
language English
format Article
sources DOAJ
author Christian Georgi
Michael Neuß
Viviane Möller
Martin Seifert
Christian Butter
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
author_facet Christian Georgi
Michael Neuß
Viviane Möller
Martin Seifert
Christian Butter
author_sort Christian Georgi
title 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_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_sort 105 inappropriate icd shocks in a patient with dilated cardiomyopathy and broca’s aphasia
publisher Hindawi Limited
series Case Reports in Cardiology
issn 2090-6404
2090-6412
publishDate 2019-01-01
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.
url http://dx.doi.org/10.1155/2019/8302591
work_keys_str_mv AT christiangeorgi 105inappropriateicdshocksinapatientwithdilatedcardiomyopathyandbrocasaphasia
AT michaelneuß 105inappropriateicdshocksinapatientwithdilatedcardiomyopathyandbrocasaphasia
AT vivianemoller 105inappropriateicdshocksinapatientwithdilatedcardiomyopathyandbrocasaphasia
AT martinseifert 105inappropriateicdshocksinapatientwithdilatedcardiomyopathyandbrocasaphasia
AT christianbutter 105inappropriateicdshocksinapatientwithdilatedcardiomyopathyandbrocasaphasia
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