Université d'Auvergne Clermont1 | CNRS

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Diaphragmatic Myopotential Oversensing Caused by Change in Implantable Cardioverter Defibrillator Sensing Bandpass Filter.

TitleDiaphragmatic Myopotential Oversensing Caused by Change in Implantable Cardioverter Defibrillator Sensing Bandpass Filter.
Publication TypeJournal Article
Year of Publication2016
AuthorsPloux, S., C. D. Swerdlow, R. Eschalier, B. Monteil, S. Ouali, M. Haïssaguerre, and P. Bordachar
JournalPacing and clinical electrophysiology : PACE
Volume39
Issue7
Pagination774-778
Date Published2016 Jul
ISSN1540-8159
Abstract

Diaphragmatic myopotential oversensing (DMO) causes inhibition of pacing and inappropriate detection of ventricular fibrillation in implantable cardioverter defibrillators (ICDs). It occurs almost exclusively with integrated bipolar leads and is extremely rare with dedicated bipolar leads. If DMO cannot be corrected by reducing programmed sensitivity, ventricular lead revision is often required. The new Low Frequency Attenuation (LFA) filter in St. Jude Medical ICDs (St. Jude Medical, Sylmar, CA, USA) alters the sensing bandpass to reduce T-wave oversensing. This paper aims to present the LFA filter as a reversible cause of DMO. Unnecessary lead revision can be avoided by the simple programming solution of deactivating this LFA filter.

DOI10.1111/pace.12837
Alternate JournalPacing Clin Electrophysiol