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Failure of Transvenous ICD to Terminate Ventricular Fibrillation in a Patient with Left Ventricular Noncompaction and Polycystic Kidneys
Author(s) -
PASTORE GIANNI,
ZA FANCESCO,
BARACCA ENRICO,
PIVA MICHELE,
BERNARDI ANNAMARIA,
PIERGENTILI CHRISTIAN,
RIGATELLI GIANLUCA,
RONCON LORIS,
BAROLD S. SERGE
Publication year - 2012
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.1540-8159.2010.02899.x
Subject(s) - medicine , cardiology , left ventricular noncompaction , ventricular fibrillation , heart failure , polycystic kidney , cardiomyopathy , kidney
Implantable cardioverter defibrillator (ICD) testing in patients with left ventricular noncompaction (LVNC) at the time of implantation and potential difficulties with ventricular fibrillation (VF) induction/termination in LVNC patients are often not stated in the literature. This report describes the failure of transvenous implantation of an ICD in a 40‐year‐old patient with LVNC and polycystic kidneys. A high defibrillation threshold (DFT) prevented termination of ICD‐induced VF. This case suggests that DFT testing should be considered in any LVNC patient during ICD implantation. The association of LVNC and polycystic kidneys is also discussed. PACE 2012; 35:e40–e42)