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Fitness, body weight loss and inappropriate shocks of subcutaneous-implantable cardioverter-defibrillator -- a case report.
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  • Diana Paskudzka,
  • Agnieszka Kolodzinska,
  • Łukasz Januszkiewicz,
  • Marcin Grabowski
Diana Paskudzka
Warszawski Uniwersytet Medyczny
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Agnieszka Kolodzinska
Warszawski Uniwersytet Medyczny
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Łukasz Januszkiewicz
Warszawski Uniwersytet Medyczny 1 Wydzial Lekarski
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Marcin Grabowski
Warszawski Uniwersytet Medyczny
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Abstract

The subcutaneous implantable cardioverter-defibrillator (S-ICD) is a well-established method for the prevention of sudden cardiac arrest and an alternative to the transvenous implantable cardioverter-defibrillator (TV-ICD). It is preferred mainly for young patients with long life expectancy, high risk of transvenous lead complications or history of previous endocarditis, or device infections. For both S-ICD and TV-ICD, inappropriate therapies are possible. For S-ICD, the most common cause of inappropriate shocks is T wave oversensing (TWOS), while in TV-ICD – supraventricular tachycardia. We present the case of a 38-year-old patient who reported a shock during physical exercise - crunches.