Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8570489 | Heart & Lung: The Journal of Acute and Critical Care | 2018 | 4 Pages |
Abstract
A 77 year old man with a biventricular ICD-pacemaker complained of painful, electric jolts disturbing him nightly from sleep. Extensive work-up including device interrogation revealed no defibrillations or arrhythmia, and he was subsequently diagnosed with phantom shocks (PS). His nightly PS symptoms terminated after starting zolpidem 10Â mg each night. To date, literature review reveals fifteen articles reporting 163 phantom shock (PS) cases. PS affects 5-9% of ICD recipients. Risk factors include psychiatric disease, atrial fibrillation, NYHA functional status III or greater, prior shock storm, and intraoperative awareness during ICD placement, with defibrillation threshold testing. This report describes a successful PS intervention, and reviews the current knowledge available in the pathophysiology and treatment of PS.
Keywords
antitachycardia pacingEKGNYHARCTImplantable cardioverter defibrillatorDFTATPArrhythmiasrandomized control trialdefibrillation thresholdobstructive sleep apneaDefibrillationElectrocardiographyNew York Heart AssociationimplantableOsaVentricular tachycardiaICDZolpidemElectric countershockCardiacselective serotonin reuptake inhibitorsSSRI
Related Topics
Health Sciences
Medicine and Dentistry
Cardiology and Cardiovascular Medicine
Authors
Lawrence McLean MD, Rachel E. MD, John Thomas MD, FACC, FSCAI, Zachary L. MD,