Discrimination between QRS and T Waves Using a Right Parasternal Lead for S-ICD in a Patient with a Single Ventricle

Takahiko Nishiyama; Takehiro Kimura; Nobuhiro Nishiyama; Yoshiyasu Aizawa; Keiichi Fukuda; Seiji Takatsuki

doi:10.1111/pace.13046

Discrimination between QRS and T Waves Using a Right Parasternal Lead for S-ICD in a Patient with a Single Ventricle

Takahiko Nishiyama, Takehiro Kimura, Nobuhiro Nishiyama, Yoshiyasu Aizawa, Keiichi Fukuda, Seiji Takatsuki

Research output: Contribution to journal › Article › peer-review

Abstract

The subcutaneous implantable cardioverter-defibrillator (S-ICD) is a useful option for patients with a single ventricle (SV) in which transvenous leads are contraindicated because of intracardiac shunts. We report a case in which a right parasternal lead placement was indicated for an S-ICD in a resuscitated patient with an SV. There were significant changes in the magnitude of R to T waves ratio in the right compared to the left parasternal lead position. Screening in the right parasternal position is effective for selecting appropriate patients with congenital heart disease for S-ICD implantations.

Original language	English
Journal	PACE - Pacing and Clinical Electrophysiology
DOIs	https://doi.org/10.1111/pace.13046
Publication status	Accepted/In press - 2017

Keywords

Right parasternal position
Single ventricle
Subcutaneous implantable cardioverter-defibrillator
Surface electrocardiogram screening
Ventricular fibrillation

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

Access to Document

10.1111/pace.13046

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abstract = "The subcutaneous implantable cardioverter-defibrillator (S-ICD) is a useful option for patients with a single ventricle (SV) in which transvenous leads are contraindicated because of intracardiac shunts. We report a case in which a right parasternal lead placement was indicated for an S-ICD in a resuscitated patient with an SV. There were significant changes in the magnitude of R to T waves ratio in the right compared to the left parasternal lead position. Screening in the right parasternal position is effective for selecting appropriate patients with congenital heart disease for S-ICD implantations.",

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AU - Aizawa, Yoshiyasu

AU - Fukuda, Keiichi

AU - Takatsuki, Seiji

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