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Routine exercise testing could not predict T-wave oversensing in a patient after a subcutaneous implantable cardioverter-defibrillator implant.
Clinical Case Reports 2018 Februrary
Subcutaneous implantable cardioverter-defibrillators (S-ICDs) are susceptible to T-wave oversensing (TWOS) caused by high rate-dependent QRS-T morphology changes. We experienced an inappropriate S-ICD shock due to TWOS, which could not be predicted by routine exercise testing. A newly available high-pass filter might be effective for avoiding this.
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