A Tale of Two "Unexpected" Asystoles
Giacomo Mugnai1, Bruna Bolzan1, Elena Franchi1
1Division of Cardiology, Cardio-Thoracic Department, University Hospital of Verona, 37126 Verona, Italy.
Abstract:
We report two cases of prolonged "unexpected" asystoles in patients with a wearable cardioverter-defibrillator (WCD) and a subcutaneous implantable cardioverter-defibrillator (ICD), respectively, which were promptly recognized and successfully managed. As these devices are designed to recognize and treat malignant tachyarrhythmias but do not provide pacing capabilities, it is crucial to identify patients with paroxysmal conduction disorders who might require backup pacing. For this reason, it is also important to leverage the monitoring features of both devices and their ability to detect the occurrence of bradyarrhythmias.
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