S‐ICD lead dislodgement in a young isometric athlete: A rare complication. Issue 8 (3rd June 2020)

• Record Type: Journal Article
• Authors: Bissolino, Arianna; Andreis, Alessandro; Magnano, Massimo; Budano, Carlo; Castagno, Davide; Golzio, Pier Giorgio; Giustetto, Carla; De Ferrari, Gaetano Maria
• Is Part Of: Pacing and clinical electrophysiology. Volume 43:Issue 8(2020)
• Page Start: 898
• Page End: 900
• Publication Date: 2020-06-03
• Subjects: defibrillator -- isometric exercise -- lead dislodgement -- myopotential -- subcutaneous implantable cardioverter defibrillator; Cardiac pacing -- Periodicals; Electrophysiology -- Periodicals; 617.4120645
• DOI: 10.1111/pace.13965
• Languages: English
• ISSNs: 0147-8389

Abstract

Abstract: The subcutaneous implantable cardioverter defibrillator (S‐ICD) is an alternative to transvenous ICD in patients who do not need cardiac pacing. We report the case of a young isometric athlete who received S‐ICD for primary prevention of sudden death. Lead dislodgement and myopotential noise oversensing during isometric training led to inappropriate shock, and a surgical revision was performed. During the procedure, strong fibrous adhesions were found, requiring polytetrafluoroethylene dilator sheaths. The S‐ICD was finally reimplanted. Despite continued isometric training, no more myopotential oversensing occurred after 1‐year follow‐up. The present case highlights the possible higher risks of lead complication in an isometric athlete and the uncommon effort in removing an old‐generation subcutaneous defibrillator lead.