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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.

journal of arrhythmia

Importance of exercise testing shortly after subcutaneous implantable cardioverter‐defibrillator implantation in patients with Brugada syndrome – The first case of associated inappropriate shock in Japan