Datta Tanuka, Melnick Stephen, Rajaram Bharaniabirami, Pavri Behzad B
Department of Internal Medicine, Division of Cardiology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
JACC Case Rep. 2021 Apr 21;3(4):603-609. doi: 10.1016/j.jaccas.2021.02.041. eCollection 2021 Apr.
We report a unique case of delivery of inappropriate implantable cardioverter-defibrillator therapies related to a "perfect storm": presence of an integrated lead, insufficient lead slack related to right heart dilation resulting in shock coil misplacement, myocarditis with loss of R waves, and the concomitant occurrence of an incessant atrial tachycardia. ().