Inappropriate shocks of subcutaneous implantable cardioverter
defibrillator due to sense-B-noise failure followed by intense noise of
vectors using sense B -Initial Signs of Sense B Circuit Malfunction? -
Abstract
Sense-B-noise is a rare cause of inappropriate shock (IAS) of
subcutaneous implantable cardioverter defibrillator (S-ICD), which is an
oversensing of primary and alternate vectors using the sense B and a
factor of non-cardiac signal oversensing. The mechanism of sense-B-noise
is unclear and considered to be a malfunction of the sense B circuit,
including the ring and lead. We present a case of a 47-year-old man, who
experienced IAS of S-ICD due to sense-B-noise followed by intense noise
of primary and alternate vectors. This case implied that the mechanism
of sense-B-noise may be an initial sign of malfunction of the sense B
circuit.