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A 60‐year‐old male experienced an inappropriate shock from an implantable cardioverter‐defibrillator ( ICD ) because of oversensing of pectoral myopotentials. Battery depletion was also observed, and a generator change was performed. A single‐chamber  ICD  ( VENTAK PRIZM  II 1860) was changed to a new  ICD  ( INCEPTA VR  F161). The myopotentials were clearly eliminated by the difference in the band pass filter ( PRIZM ; 21‐171 Hz,  INCEPTA ; 20‐85 Hz), but unfortunately, new noise was documented 4 years later. The utility of the bandpass filter for preventing oversensing of myopotentials was observed, but the limitation of its use for long‐term follow‐up was also indicated.

Limitation of the bandpass filter in preventing oversensing of pectoral myopotentials over the long‐term follow‐up