Limitation of the bandpass filter in preventing oversensing of pectoral myopotentials over the long‐term follow‐up

Abstract

Abstract A 60‐year‐old male experienced an inappropriate shock from an implantable cardioverter‐defibrillator (ICD) because of oversensing of pectoral myopotentials. Battery depletion was also observed, and a generator change was performed. A single‐chamber ICD (VENTAK PRIZM II 1860) was changed to a new ICD (INCEPTA VR F161). The myopotentials were clearly eliminated by the difference in the band pass filter (PRIZM; 21‐171 Hz, INCEPTA; 20‐85 Hz), but unfortunately, new noise was documented 4 years later. The utility of the bandpass filter for preventing oversensing of myopotentials was observed, but the limitation of its use for long‐term follow‐up was also indicated.

Keywords

• bandpass filter
• implantable cardioverter defibrillator
• inappropriate shock
• lead fracture
• myopotential