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Updated: Aug 21, 2026

A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation
Published on: February 28, 2012
Total failure to sense ventricular fibrillation with inappropriate defibrillator sensitivity adjustment
David Lin1, Sanjay Dixit, Andrea M Russo
1Electrophysiology Service, Cardiovascular Division, University of Pennsylvania Health System, Philadelphia, Pennsylvania 19104, USA.
Abstract:
Automatic Sensitivity Control, unique to St. Jude defibrillators, allows for programmable sensitivity threshold and refractory periods. However, inappropriate programming can lead to marked undersensing and potentially lethal complications. We report a case of complete failure to sense ventricular fibrillation with inappropriate sensitivity adjustments. Detailed review of the parameters with induction of ventricular fibrillation must be performed to assure adequate safety.
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