When leads are not an option: Optimizing subcutaneous implantable cardioverter-defibrillator and leadless pacemaker interaction

The subcutaneous implantable cardioverter-defibrillator (S-ICD) is an effective therapy for preventing sudden cardiac death in appropriately selected patients. 1 As a fully extrathoracic and extravascular system, it avoids the risks associated with transvenous leads, such as fracture or endocarditis. 2 However, inappropriate shocks—often due to cardiac oversensing, particularly T-wave oversensing—remain a significant limitation. 3

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Publication Details

Journal
HeartRhythm Case Reports
Published
2025-08-30
DOI
https://doi.org/10.1016/j.hrcr.2025.08.032
Primary Topic
Cardiac pacing and defibrillation studies
Type
article
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When leads are not an option: Optimizing subcutaneous implantable cardioverter-defibrillator and leadless pacemaker interaction

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article

When leads are not an option: Optimizing subcutaneous implantable cardioverter-defibrillator and leadless pacemaker interaction

Paula Sánchez-Somonte, Luis Muñoz‐Bellvís, Sergio Castrejón‐Castrejón, Omar Al Razzo, Marcel Martínez‐Cossiani, José Luís Merino
article en

Abstract

The subcutaneous implantable cardioverter-defibrillator (S-ICD) is an effective therapy for preventing sudden cardiac death in appropriately selected patients. 1 As a fully extrathoracic and extravascular system, it avoids the risks associated with transvenous leads, such as fracture or endocarditis. 2 However, inappropriate shocks—often due to cardiac oversensing, particularly T-wave oversensing—remain a significant limitation. 3

HeartRhythm Case ReportsVol. 11(11)
Hospital Universitario La Paz (ES), Hospital La Paz Institute for Health Research (ES)
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Openalex Percentile: Top 64%
Cardiac pacing and defibrillation studies
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