T-wave oversensing is more dependent on ICD sensitivity algorithm than lead sensing configuration

We present a patient with a Medtronic ICD who had inhibition of pacing and not inappropriate shocks due to T wave oversensing (TWOS) in both true bipolar (TB) and integrated bipolar (IB) sensing configurations. Rather than alternatives such as lead revision or programming to an unacceptably insensitive value, this was solved by exchanging for a Boston Scientific ICD.

Source: Journal of Electrocardiology - May 18, 2018 Category: Cardiology Authors: Anil H. Punjabi, Arlene Dermovsesian, Ankur A. Karnik Source Type: research