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EGM tracing with ICD

: Trouble shooting

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ECG tracing with pacing device

EGM tracing with ICD

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Atrial fibrillation

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  • <p>A 78 years old&nbsp;patient underwent a His ablation for drug-resistant paroxysmal atrial fibrillation.</p>
<p>He also presents with documented VTs and left ventricular ejection fraction under 40% with symptomatic heart failure which led to ICD implant</p>
<p>On this slide, the ventricular lead detects noise analyzed as spontaneous ventricular activity so that the patient is not paced anymore which leads to repetitive dizziness</p>
    Surgical Treatment, Trouble shooting

    ICD ventricular false signals 2

    A 78 years old patient underwent a His ablation for drug-resistant paroxysmal atrial fibrillation.

    He also presents with documented VTs and left ventricular ejection fraction under 40% with symptomatic heart failure which led to ICD implant

    On this slide, the ventricular lead detects noise analyzed as spontaneous ventricular activity so that the patient is not paced anymore which leads to repetitive dizziness

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  • <p>The ventricular channel detects rapid and irregular signals analyzed by teh ICD as ventricular fibrillation</p>
    Trouble shooting

    noise on the ICD-ventricular lead considered as ventricular fibrillation 1

    The ventricular channel detects rapid and irregular signals analyzed by teh ICD as ventricular fibrillation

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  • <p>50 Hz sensed by the atrial&nbsp;channel in a ICD</p>
    Atrial arrhythmia, Trouble shooting

    50Hz parasites ICD 1

    50 Hz sensed by the atrial channel in a ICD

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