Author/Authors :
Georgi, Christian Department of Cardiology and Medical School Brandenburg Theodor Fontane - Heart Center Brandenburg, Bernau bei Berlin, Germany , Neuß, Michael Department of Cardiology and Medical School Brandenburg Theodor Fontane - Heart Center Brandenburg, Bernau bei Berlin, Germany , Möller, Viviane Department of Cardiology and Medical School Brandenburg Theodor Fontane - Heart Center Brandenburg, Bernau bei Berlin, Germany , Seifert, Martin Department of Cardiology and Medical School Brandenburg Theodor Fontane - Heart Center Brandenburg, Bernau bei Berlin, Germany , Butter, Christian Department of Cardiology and Medical School Brandenburg Theodor Fontane - Heart Center Brandenburg, Bernau bei Berlin, Germany
Abstract :
With a growing number of ICD recipients, device complications are seen more frequently in the clinical setting and outpatient
departments. Among the most severe are ICD infections and inappropriate therapies caused by oversensing of atrial
tachycardias or lead fracture. We report on a 76-year-old female patient with dilative cardiomyopathy and Broca’s aphasia after
stroke, who experienced 105 consecutive inappropriate ICD shocks due to cluster missensing of her fractured ICD lead. The
diagnosis was complicated and delayed by patient’s aphasia emphasizing the need for intensified remote monitoring along with
regular in-person visits, especially in people with intellectual or communication disabilities.
