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Automatic Implantable Cardioverter Defibrillator/Permanent Pacemaker Interaction: Loss of Pacemaker Capture Following AICD Discharge
Author(s) -
SLEPIAN MARVIN,
LEVINE JOSEPH H.,
WATKINS LEVI,
BRINKER JEFFREY,
GUARNIERI THOMAS
Publication year - 1987
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1987.tb06140.x
Subject(s) - medicine , defibrillation , implantable cardioverter defibrillator , shock (circulatory) , cardiology , ventricular tachycardia , tachycardia , defibrillation threshold
A 78‐year‐old man treated with amiodaronce for recurrent ventricular tachycardia, had soquential placement of a bipolar VVI pacemaker and an automatic implantable cardioverter defibrillator (AICD). During defibrillation threshold testing, there was failure to capture of the pacer in the post‐shock period. The time of failure to capture appeared energy‐related: the greater the energy delivered, the longer the failure to capture. Careful attention will be necessary in constructing combined AICD/pacemaker units.