Combination of a leadless pacemaker and subcutaneous defibrillator: First in-human report Blandine Mondésert, MD, Marc Dubuc, MD, FHRS, Paul Khairy,

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Presentation transcript:

Combination of a leadless pacemaker and subcutaneous defibrillator: First in-human report Blandine Mondésert, MD, Marc Dubuc, MD, FHRS, Paul Khairy, MD, PhD, Peter G. Guerra, MD, FHRS, Gilbert Gosselin, MD, Bernard Thibault, MD, FHRS HeartRhythm Case Reports Volume 1, Issue 6, Pages 469-471 (November 2015) DOI: 10.1016/j.hrcr.2015.07.009 Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 1 Subcutaneous implantable cardioverter-defibrillator electrogram recordings during spontaneous sinus rhythm (left) and during VVI 90 bpm maximum output (6.5 V @ 0.5 ms) pacing (right) are shown in the following 3 configurations: A: primary configuration; B: secondary configuration; C: alternate configuration. HeartRhythm Case Reports 2015 1, 469-471DOI: (10.1016/j.hrcr.2015.07.009) Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 2 Recordings during interrogation and programming of the leadless pacemaker. A: A 12-lead electrocardiographic recording showing the absence of noise from modulated pacing pulses. B: Subcutaneous implantable cardioverter-defibrillator recordings in primary (upper panel), secondary (middle panel), and alternate (lower panel) configurations during interrogation and programming of the leadless pacemaker, likewise demonstrating the absence of detected interference. HeartRhythm Case Reports 2015 1, 469-471DOI: (10.1016/j.hrcr.2015.07.009) Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 3 Chest radiograph. Shown are anteroposterior and lateral views of the leadless pacemaker (PM) and subcutaneous implantable cardioverter-defibrillator (S-ICD) systems. HeartRhythm Case Reports 2015 1, 469-471DOI: (10.1016/j.hrcr.2015.07.009) Copyright © 2015 Heart Rhythm Society Terms and Conditions