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Unnecessary shock from an implantable cardioverter-defibrillator following transcutaneous pacing

Published online by Cambridge University Press:  04 March 2015

Riyaz Somani ,
Peggy DeJong ,
Kevin Michael  and
Adrian Baranchuk
Riyaz Somani*
Affiliation:
Heart Rhythm Service, Kingston General Hospital, Queen’s University, Kingston, ON
Peggy DeJong
Affiliation:
Heart Rhythm Service, Kingston General Hospital, Queen’s University, Kingston, ON
Kevin Michael
Affiliation:
Heart Rhythm Service, Kingston General Hospital, Queen’s University, Kingston, ON
Adrian Baranchuk
Affiliation:
Heart Rhythm Service, Kingston General Hospital, Queen’s University, Kingston, ON
*
Heart Rhythm Service, Kingston General Hospital, Queen’s University, Kingston, ON K7L 2V7; [email protected]

Abstract

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As the population ages and cardiovascular disease becomes more prevalent, an increasing number of patients are receiving implantable cardioverter-defibrillators (ICDs). When these patients present to the emergency department, it is imperative that physicians are not only aware of the possible underlying medical issues that may have precipitated their admission but should also have a good understanding of the potential interactions that any medical intervention may have on the patient’s device. We discuss a case in which a patient known to have an ICD in situ was transcutaneously paced for the management of bradycardia, leading to an unnecessary shock.

Keywords

emergency departmentimplantable cardioverter defibrillatortranscutaneous pacingunnecessary shock
Type
Case Report • Rapport de cas
Information
Canadian Journal of Emergency Medicine , Volume 16 , Issue 4 , July 2014 , pp. 330 - 333
Copyright
Copyright © Canadian Association of Emergency Physicians 2014

References

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