Open AccessImportance of exercise testing shortly after subcutaneous implantable cardioverter‐defibrillator implantation in patients with Brugada syndrome – The first case of associated inappropriate shock in Japan
Author(s) -
Ishibashi Kohei,
Noda Takashi,
Kamakura Tsukasa,
Wada Mitsuru,
Inoue Yuko,
Okamura Hideo,
Kusano Kengo
Publication year - 2017
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1016/j.joa.2016.07.006
Subject(s) - medicine , brugada syndrome , implantable cardioverter defibrillator , shock (circulatory) , cardiology
We report the case of a 51‐year‐old patient with Brugada syndrome (BrS) who experienced inappropriate shock due to T‐wave oversensing (TWOS) during exercise when the optimal sensing vector was selected based on the automatic analysis by a subcutaneous implantable cardioverter‐defibrillator (S‐ICD). After selecting another vector during exercise testing, TWOS did not re‐occur. Selection of appropriate sensing vector based on analyses under various conditions, including during exercise after S‐ICD implantation, should be considered for patients with BrS.