Low-voltage shock impedance measurements: A false sense of security.
Abdul Shokor ParwaniPhilipp LacourPhilip FrankeUwe ReichertKlein ChristophThomas BeiertRafal SuprynKarthikeyan RangasamyTony KullFelix HohendannerFrank HeinzelAndreas KucherLeif-Hendrik BoldtBurkert PieskeFlorian BlaschkePublished in: Pacing and clinical electrophysiology : PACE (2020)
This case series illustrates that low-voltage shock impedance measurements can fail to detect insulation breaches. These data suggest that in patients without a contraindication, traditional defibrillator threshold testing or high voltage synchronized shock at the time of device replacement should be considered.