Runaway Pacemaker in an Implantable Cardioverter Defibrillator
- 1 September 1998
- journal article
- case report
- Published by Wiley in Journal of Cardiovascular Electrophysiology
- Vol. 9 (9) , 1008-1011
- https://doi.org/10.1111/j.1540-8167.1998.tb00143.x
Abstract
Runaway Pacemaker in an ICD. Introduction: Runaway pacemaker is a potentially catastrophic complication of any permanent pacing system. Methods and Results: A 70‐year‐old man was found to have erratic behavior of his implantable cardioverter defibrillator (ICD) during a routine outpatient interrogation. His device was turned off, and he was hospitalized in preparation for a pulse generator replacement. During his hospitalization, his ICD unexpectedly began pacing rapidly. Despite prompt resuscitation attempts, the patient died. Postmortem examination of the device demonstrated a crystal oscillator failure. Conclusion: A previously unrecognized component malfunction is a potentially lethal complication of ICDs.Keywords
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