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To the Editor Despite the positive effect on prevention of sudden cardiac death, implantable cardioverter defibrillator (ICD) therapy is associated with potential malfunctions of the implanted system. Although detected by electrical parameters during routine ICD controls, lead defects are recognised after the occurrence of inappropriate shocks in a significant proportion of patients.
Various alert features have been implemented in newer generation ICDs in order to improve the management of device-implanted patients and provide early warnings of lead dysfunction. Recently, ICDs with the ability of continuous ST-segment monitoring through the ventricular lead have been developed. These devices continuously …
Contributors Acquisition of data: DGDR, GP, VS, MT, DS, LS. Study supervision: FR, GBF. Critical revision of the manuscript for important intellectual content, full access to all of the data in the study and responsibility for the integrity of the data: GBF, FR.
Competing interests None.
Ethics approval Ethic Committee University of Rome Tor Vergata.
Provenance and peer review Not commissioned; internally peer reviewed.