• Prehosp Emerg Care · Jan 2020

    Case Reports

    CPR induced inappropriate shocks from a subcutaneous implantable cardioverter defibrillator during out-of-hospital cardiac arrest.

    • Patrik Cmorej, Eva Smrzova, David Peran, and Tana Bulikova.
    • Prehosp Emerg Care. 2020 Jan 1; 24 (1): 85-89.

    AbstractWe 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.

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