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 CitationDatta, 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.
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