Article Text
Reminder of important clinical lesson
CASE REPORT
Ventricular fibrillation induced by high-output ICD shock: report of cases and review of literature
Summary
This report highlights the importance of realising that even the modern-day implantable cardioverter defibrillators (ICDs) with R wave synchronised appropriate shocks have a potential proarrhythmic effect. We present two cases of ventricular fibrillation induction resulting from an appropriate ICD shock observed in two different patients at our institution. Such cases have not been reported before. We discuss the possible reasons for our observations and are also submitting a pertinent literature review with our reports.
- arrhythmias
- cardiovascular medicine
- pacing and electrophysiology