Use of a Coronary Sinus Lead and Biventricular ICD to Correct a Sensing Abnormality in a Patient with Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy | Zendy

BILCHICK KENNETH C. | Zendy; JUDGE DANIEL P. | Zendy; CALKINS HUGH | Zendy; MARINE JOSEPH E. | Zendy

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Use of a Coronary Sinus Lead and Biventricular ICD to Correct a Sensing Abnormality in a Patient with Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy

Author(s) -

BILCHICK KENNETH C.,

JUDGE DANIEL P.,

CALKINS HUGH,

MARINE JOSEPH E.

Publication year - 2006

Publication title -

journal of cardiovascular electrophysiology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.193

H-Index - 138

eISSN - 1540-8167

pISSN - 1045-3873

DOI - 10.1111/j.1540-8167.2005.00298.x

Subject(s) - medicine , arrhythmogenic right ventricular dysplasia , cardiology , coronary sinus , implantable cardioverter defibrillator , cardiomyopathy , ventricular tachycardia , ventricle , abnormality , heart failure , psychiatry

Implantable cardioverter defibrillators (ICDs) are frequently offered to patients with arrhythmogenic right ventricular dysplasia/cardiomyopathy (ARVD/C). Yet ICDs in these patients may be complicated by poor sensed amplitudes resulting from fatty and fibrous tissue replacement of right ventricular myocardium. We present the case of a patient with ARVD/C who had inappropriate detection of ventricular tachycardia with a single‐chamber ICD due to poor sensed right ventricular amplitudes. We discuss how the use of a bipolar coronary sinus lead and a biventricular ICD generator with a novel header configuration solved the problem.

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