NYMC Faculty Publications

Unique Technique to Relieve Left Ventricular Assist Device Electromagnetic Interference with an Implantable Cardioverter Defibrillator

Author Type(s)

Faculty

DOI

10.1111/jce.14840

Journal Title

Journal of Cardiovascular Electrophysiology

First Page

551

Last Page

553

Document Type

Case Report

Publication Date

2-2021

Department

Medicine

Keywords

Adult, Defibrillators, Implantable, Electromagnetic Phenomena, Heart Failure, Heart-Assist Devices, Humans, Male, Ventricular Dysfunction, Left

Disciplines

Medicine and Health Sciences

Abstract

We introduced a simple technique to eliminate electromagnetic interference between a left ventricular assist device (LVAD) and an implantable cardioverter defibrillator (ICD). A 43-year-old male with heart failure and a reduced ejection fraction who had an ICD presented with decompensated heart failure and received an LVAD as a bridge to transplant. Remote monitoring showed persistent atrial fibrillation causing an inappropriate ICD shock leading to a decision to disable shock therapies. However, an in-office interrogation was unsuccessful due to electromagnetic interference. Patient was instructed to extend his arm above his head on the ipsilateral side of the ICD, thus increasing the distance between LVAD and ICD, eliminating the interaction to allow reprogramming of the device.

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