Early Detection of Subclinical Atrial Flutter-Fibrillation in Patients with Unexplained Palpitation Using a Novel VDD Defibrillator with Integrated Atrial-Sensing Rings.
10.18501/arrhythmia.2016.028
- Author:
Seung Jung PARK
1
Author Information
1. Division of Cardiology, Department of Internal Medicine, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. orthovics@gmail.com
- Publication Type:Case Report
- Keywords:
Implantable Cardioverter-Defibrillator;
Atrial Fibrillation;
Stroke
- MeSH:
Atrial Fibrillation;
Cardiomyopathies;
Coronary Artery Bypass;
Death, Sudden, Cardiac;
Defibrillators*;
Defibrillators, Implantable;
Electrocardiography;
Electrophysiologic Techniques, Cardiac;
Heart;
Humans;
Middle Aged;
Primary Prevention;
Shock;
Stroke;
Transplants
- From:International Journal of Arrhythmia
2016;17(3):163-166
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 56-year-old man with an implantable cardioverter-defibrillator (ICD) presented with unexplained heart palpitations, which were usually aggravated after ingesting alcohol. He had a history of coronary artery bypass graft surgery 8 years ago, and an ICD was placed (i.e. a single ventricular shock coil with integrated atrial-sensing rings [VDD ICD lead]) 1.5 years ago for primary prevention of sudden cardiac death associated with ischemic cardiomyopathy. Repeated electrocardiograms and echocardiograms showed no evidence of atrial flutter-fibrillation; this was clearly demonstrated using several atrial electrogram strips during the ICD analysis.
