Two cases of inappropriate implantable cardioverter-defibrillator therapies due to T wave oversensing induced by body twisting

Abstract

T wave oversensing (TWOS) is a common cause of inappropriate implantable cardioverter-defibrillator (ICD) therapies. Various algorithms to avoid inappropriate ICD therapy are available; however, they are not helpful to avoid TWOS. Although the reproduction of TWOS is useful to resolve the problem of TWOS, it is sometimes difficult to reproduce TWOS. We report two cases of inappropriate ICD therapy due to TWOS, which were induced only by body twisting. We can successfully manage the device based on the evidence of reproduced TWOS.

Keywords

• T wave oversensing
• Implantable cardioverter-defibrillator therapy
• Body twisting