Nishii Nobuhiro, Miyoshi Akihito, Kubo Motoki, Sugiyama Hiroyasu, Tachibana Motomi, Nakagawa Koji, Watanabe Atsuyuki, Morita Hiroshi, Ito Hiroshi
Department of Cardiovascular Therapeutics, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Kita-ku, Shikata-cho, Okayama City, Okayama 700-8558, Japan.
Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan.
J Arrhythm. 2017 Apr;33(2):152-155. doi: 10.1016/j.joa.2016.06.003. Epub 2016 Nov 1.
T wave oversensing (TWOS) is a common cause of inappropriate implantable cardioverter-defibrillator (ICD) therapies. Various algorithms to avoid inappropriate ICD therapy are available; however, they are not helpful to avoid TWOS. Although the reproduction of TWOS is useful to resolve the problem of TWOS, it is sometimes difficult to reproduce TWOS. We report two cases of inappropriate ICD therapy due to TWOS, which were induced only by body twisting. We can successfully manage the device based on the evidence of reproduced TWOS.