Diagnosis of ICD lead failure using continuous event marker recording

R. P. Horton, R. C. Canby, C. A. Roman, Michael E Jessen, T. J. Schulte, R. L. Page

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Stored electrograms enhance the ability to evaluate therapy episodes in the third-generation implantable cardioverter defibrillator. These electrograms are recorded from either the shocking or rate sensing leads, but not both. As a result, differentiation of certain types of sensing abnormalities may be difficult prior to surgical exploration. We present a case of rate sensing lead failure due to an insulation break. Several minutes of recording of the event marker in the laboratory failed to document any abnormal sensing; the diagnosis was made by recording the event marker on a 24-hour continuous (Holter) monitor. The Holter monitor/event marker combination was of substantial diagnostic value and allowed for a more focused surgical evaluation and treatment.

Original languageEnglish (US)
Pages (from-to)1331-1334
Number of pages4
JournalPACE - Pacing and Clinical Electrophysiology
Volume18
Issue number6
StatePublished - 1995

Fingerprint

Implantable Defibrillators
Biomarkers
Therapeutics
Lead

Keywords

  • ambulatory monitor
  • event marker
  • implantable cardioverter defibrillator
  • oversensing

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Horton, R. P., Canby, R. C., Roman, C. A., Jessen, M. E., Schulte, T. J., & Page, R. L. (1995). Diagnosis of ICD lead failure using continuous event marker recording. PACE - Pacing and Clinical Electrophysiology, 18(6), 1331-1334.

Diagnosis of ICD lead failure using continuous event marker recording. / Horton, R. P.; Canby, R. C.; Roman, C. A.; Jessen, Michael E; Schulte, T. J.; Page, R. L.

In: PACE - Pacing and Clinical Electrophysiology, Vol. 18, No. 6, 1995, p. 1331-1334.

Research output: Contribution to journalArticle

Horton, RP, Canby, RC, Roman, CA, Jessen, ME, Schulte, TJ & Page, RL 1995, 'Diagnosis of ICD lead failure using continuous event marker recording', PACE - Pacing and Clinical Electrophysiology, vol. 18, no. 6, pp. 1331-1334.
Horton, R. P. ; Canby, R. C. ; Roman, C. A. ; Jessen, Michael E ; Schulte, T. J. ; Page, R. L. / Diagnosis of ICD lead failure using continuous event marker recording. In: PACE - Pacing and Clinical Electrophysiology. 1995 ; Vol. 18, No. 6. pp. 1331-1334.
@article{3c3b597ac92b48f48b902ec3f452cc3c,
title = "Diagnosis of ICD lead failure using continuous event marker recording",
abstract = "Stored electrograms enhance the ability to evaluate therapy episodes in the third-generation implantable cardioverter defibrillator. These electrograms are recorded from either the shocking or rate sensing leads, but not both. As a result, differentiation of certain types of sensing abnormalities may be difficult prior to surgical exploration. We present a case of rate sensing lead failure due to an insulation break. Several minutes of recording of the event marker in the laboratory failed to document any abnormal sensing; the diagnosis was made by recording the event marker on a 24-hour continuous (Holter) monitor. The Holter monitor/event marker combination was of substantial diagnostic value and allowed for a more focused surgical evaluation and treatment.",
keywords = "ambulatory monitor, event marker, implantable cardioverter defibrillator, oversensing",
author = "Horton, {R. P.} and Canby, {R. C.} and Roman, {C. A.} and Jessen, {Michael E} and Schulte, {T. J.} and Page, {R. L.}",
year = "1995",
language = "English (US)",
volume = "18",
pages = "1331--1334",
journal = "PACE - Pacing and Clinical Electrophysiology",
issn = "0147-8389",
publisher = "Wiley-Blackwell",
number = "6",

}

TY - JOUR

T1 - Diagnosis of ICD lead failure using continuous event marker recording

AU - Horton, R. P.

AU - Canby, R. C.

AU - Roman, C. A.

AU - Jessen, Michael E

AU - Schulte, T. J.

AU - Page, R. L.

PY - 1995

Y1 - 1995

N2 - Stored electrograms enhance the ability to evaluate therapy episodes in the third-generation implantable cardioverter defibrillator. These electrograms are recorded from either the shocking or rate sensing leads, but not both. As a result, differentiation of certain types of sensing abnormalities may be difficult prior to surgical exploration. We present a case of rate sensing lead failure due to an insulation break. Several minutes of recording of the event marker in the laboratory failed to document any abnormal sensing; the diagnosis was made by recording the event marker on a 24-hour continuous (Holter) monitor. The Holter monitor/event marker combination was of substantial diagnostic value and allowed for a more focused surgical evaluation and treatment.

AB - Stored electrograms enhance the ability to evaluate therapy episodes in the third-generation implantable cardioverter defibrillator. These electrograms are recorded from either the shocking or rate sensing leads, but not both. As a result, differentiation of certain types of sensing abnormalities may be difficult prior to surgical exploration. We present a case of rate sensing lead failure due to an insulation break. Several minutes of recording of the event marker in the laboratory failed to document any abnormal sensing; the diagnosis was made by recording the event marker on a 24-hour continuous (Holter) monitor. The Holter monitor/event marker combination was of substantial diagnostic value and allowed for a more focused surgical evaluation and treatment.

KW - ambulatory monitor

KW - event marker

KW - implantable cardioverter defibrillator

KW - oversensing

UR - http://www.scopus.com/inward/record.url?scp=0029079516&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029079516&partnerID=8YFLogxK

M3 - Article

VL - 18

SP - 1331

EP - 1334

JO - PACE - Pacing and Clinical Electrophysiology

JF - PACE - Pacing and Clinical Electrophysiology

SN - 0147-8389

IS - 6

ER -