A Shocking Case of Far-Field Atrial Oversensing in Giant-Cell Myocarditis

Authors

Tanuka Datta, MD, Department of Internal Medicine, Division of Cardiology, Thomas Jefferson University, Philadelphia, United StatesFollow
S. Melnick, DO, Department of Internal Medicine, Division of Cardiology, Thomas Jefferson University, Philadelphia, United StatesFollow
Bharaniabirami Rajaram, MD, Department of Internal Medicine, Division of Cardiology, Thomas Jefferson University, Philadelphia, United StatesFollow
Behzad B. Pavri, Department of Internal Medicine, Division of Cardiology, Thomas Jefferson University, Philadelphia, United StatesFollow

Document Type

Report

Publication Date

4-21-2021

Comments

This article is the author's final published version in JACC: Case Reports, Volume 3, Issue 4, April 2021, Pages 603 - 609.

The published version is available at https://doi.org/10.1016/j.jaccas.2021.02.041

Copyright © 2021 The Authors

PUBLISHED BY ELSEVIER ON BEHALF OF THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION. THIS IS AN OPEN ACCESS ARTICLE UNDER THE CC BY-NC-ND LICENSE (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Abstract

We report a unique case of delivery of inappropriate implantable cardioverter-defibrillator therapies related to a “perfect storm”: presence of an integrated lead, insufficient lead slack related to right heart dilation resulting in shock coil misplacement, myocarditis with loss of R waves, and the concomitant occurrence of an incessant atrial tachycardia. (Level of Difficulty: Advanced.)

Recommended Citation

Datta, MD, Tanuka; Melnick, DO, S.; Rajaram, MD, Bharaniabirami; and Pavri, Behzad B., "A Shocking Case of Far-Field Atrial Oversensing in Giant-Cell Myocarditis" (2021). Division of Cardiology Faculty Papers. Paper 79.
https://jdc.jefferson.edu/cardiologyfp/79

Creative Commons License

This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

Language

English