Case 117

Paul A. Friedman; Charles D. Swerdlow

doi:10.1007/978-1-84996-390-9_117

Case 117

Paul A. Friedman, Charles D. Swerdlow

Cardiovascular Medicine

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

A 24-year-old woman with complex congenital heart disease, depressed systemic ventricular function, and congestive heart failure previously received an InSync II Marquis™ 7289 CRT-D utilizing a Medtronic Sprint Fidelis 6949 right ventricular defibrillation lead, 4193 left ventricular lead, and a Novus 5076 right atrial lead. While in hospital on telemetry, she develops recurrent episodes of pacing failure, ventricular arrhythmias, and shocks (Fig. 117.1). The device status report is shown in Fig. 117.2. In order to further troubleshoot the device malfunction, a real-time electrogram and surface ECG are simultaneously recorded (Fig. 117.3). What is the diagnosis? How is the problem corrected?

Original language	English (US)
Title of host publication	Cardiac Electrophysiology
Subtitle of host publication	Clinical Case Review
Publisher	Springer London
Pages	455-458
Number of pages	4
ISBN (Print)	9781849963893
DOIs	https://doi.org/10.1007/978-1-84996-390-9_117
State	Published - 2011

ASJC Scopus subject areas

General Medicine

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10.1007/978-1-84996-390-9_117

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title = "Case 117",

abstract = "A 24-year-old woman with complex congenital heart disease, depressed systemic ventricular function, and congestive heart failure previously received an InSync II Marquis{\texttrademark} 7289 CRT-D utilizing a Medtronic Sprint Fidelis 6949 right ventricular defibrillation lead, 4193 left ventricular lead, and a Novus 5076 right atrial lead. While in hospital on telemetry, she develops recurrent episodes of pacing failure, ventricular arrhythmias, and shocks (Fig. 117.1). The device status report is shown in Fig. 117.2. In order to further troubleshoot the device malfunction, a real-time electrogram and surface ECG are simultaneously recorded (Fig. 117.3). What is the diagnosis? How is the problem corrected?",

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N2 - A 24-year-old woman with complex congenital heart disease, depressed systemic ventricular function, and congestive heart failure previously received an InSync II Marquis™ 7289 CRT-D utilizing a Medtronic Sprint Fidelis 6949 right ventricular defibrillation lead, 4193 left ventricular lead, and a Novus 5076 right atrial lead. While in hospital on telemetry, she develops recurrent episodes of pacing failure, ventricular arrhythmias, and shocks (Fig. 117.1). The device status report is shown in Fig. 117.2. In order to further troubleshoot the device malfunction, a real-time electrogram and surface ECG are simultaneously recorded (Fig. 117.3). What is the diagnosis? How is the problem corrected?

AB - A 24-year-old woman with complex congenital heart disease, depressed systemic ventricular function, and congestive heart failure previously received an InSync II Marquis™ 7289 CRT-D utilizing a Medtronic Sprint Fidelis 6949 right ventricular defibrillation lead, 4193 left ventricular lead, and a Novus 5076 right atrial lead. While in hospital on telemetry, she develops recurrent episodes of pacing failure, ventricular arrhythmias, and shocks (Fig. 117.1). The device status report is shown in Fig. 117.2. In order to further troubleshoot the device malfunction, a real-time electrogram and surface ECG are simultaneously recorded (Fig. 117.3). What is the diagnosis? How is the problem corrected?

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Case 117

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ASJC Scopus subject areas

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