This study was funded in part by the Bogle Foundation and the Johns Hopkins ARVD Program (ARVD.COM).
Use of a Coronary Sinus Lead and Biventricular ICD to Correct a Sensing Abnormality in a Patient with Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy
Version of Record online: 10 OCT 2005
Journal of Cardiovascular Electrophysiology
Volume 17, Issue 3, pages 317–320, March 2006
How to Cite
BILCHICK, K. C., JUDGE, D. P., CALKINS, H. and MARINE, J. E. (2006), Use of a Coronary Sinus Lead and Biventricular ICD to Correct a Sensing Abnormality in a Patient with Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy. Journal of Cardiovascular Electrophysiology, 17: 317–320. doi: 10.1111/j.1540-8167.2005.00298.x
Manuscript received 15 May 2005; Revised manuscript received 3 July 2005; Accepted for publication 25 July 2005.
- Issue online: 10 OCT 2005
- Version of Record online: 10 OCT 2005
- arrhythmogenic right ventricular dysplasia;
- implantable cardioverter-defibrillator;
- biventricular pacing;
- coronary sinus
Implantable cardioverter defibrillators (ICDs) are frequently offered to patients with arrhythmogenic right ventricular dysplasia/cardiomyopathy (ARVD/C). Yet ICDs in these patients may be complicated by poor sensed amplitudes resulting from fatty and fibrous tissue replacement of right ventricular myocardium. We present the case of a patient with ARVD/C who had inappropriate detection of ventricular tachycardia with a single-chamber ICD due to poor sensed right ventricular amplitudes. We discuss how the use of a bipolar coronary sinus lead and a biventricular ICD generator with a novel header configuration solved the problem.