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Inappropriate shock and percutaneous cardiac intervention: A lesson to learn in the cath lab
Author(s) -
Di Stolfo Giuseppe,
Mastroianno Sandra,
Massaro Raimondo,
Vigna Carlo,
Russo Aldo,
Potenza Domenico Rosario
Publication year - 2019
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/pace.13784
Subject(s) - medicine , cardiology , shock (circulatory) , percutaneous coronary intervention , ejection fraction , sudden cardiac death , implantable cardioverter defibrillator , coronary artery disease , lumen (anatomy) , heart failure , percutaneous , cath lab , sudden death , myocardial infarction , conventional pci
Coronary disease is a common condition in patients affected by heart failure with severely reduced ejection fraction (HFrEF). This condition represents an indication for implantable cardioverter defibrillator (ICD) in order to reduce the risk of sudden death related to arrhythmias. Nevertheless, inappropriate shocks are associated with worse quality of life, hospitalization, and death. We present the case of an inappropriate shock related to percutaneous coronary intervention during the insertion and advancement of the guidewire into the left anterior descending artery (LAD) in a patient with an ICD. Physicians’ awareness about the clinical implication of noise arising during a coronary procedure is very important in patients with an ICD or pacemaker, to avoid inappropriate shock or pacing inhibition and to raise the possibility of lead implantation in or helix protrusion into the coronary lumen.