CPR Induced Inappropriate Shocks from a Subcutaneous Implantable Cardioverter Defibrillator during Out-of-Hospital Cardiac Arrest. (2nd January 2020)

• Record Type: Journal Article
• Authors: Cmorej, Patrik; Smrzova, Eva; Peran, David; Bulikova, Tana
• Is Part Of: Prehospital emergency care. Volume 24:Number 1(2020)
• Page Start: 85
• Page End: 89
• Publication Date: 2020-01-02
• Subjects: defibrillation -- emergency medicine -- resuscitation -- subcutaneous implantable cardioverter defibrillator; 362.18
• DOI: 10.1080/10903127.2019.1599475
• Languages: English
• ISSNs: 1090-3127

Abstract

Abstract: We present the case of a 30-year-old man with a subcutaneous implantable cardioverter defibrillator (S-ICD) who suffered sudden out-of-hospital cardiac arrest. During resuscitation, the patient received inappropriate shocks due to oversensing by the S-ICD of chest compression induced artifact. The rhythm on the EMS monitor showed asystole throughout the period of resuscitation. Placement of a magnet over the S-ICD generator failed to inhibit the delivery of S-ICD shocks. Information regarding inappropriate S-ICD shocks may be useful during resuscitation of patients with sudden cardiac arrest.