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T-wave oversensing (TWOS) is a relatively common occurrence in pacemakers and defibrillators that can lead to pauses and inappropriate implantable cardioverter-defibrillator shocks. We present a case of TWOS that triggered the Lead Integrity Alert (Medtronic, Minneapolis, MN, USA) without evidence of actual lead failure.

Lead Integrity Alert Triggered by T-wave Oversensing