Abstract
Sirs: A 20-year-old woman was admitted to our hospital by the emergency physician after resuscitation in cardiac arrest due to a ventricular fibrillation (VF) caused by a non-classified cardiomyopathy with a impaired left ventricular function of about 35% and a long QT-syndrome. As a consequence of cerebral hypoxia the patient suffered from an impaired neurological status with cognitive deficit and sensomotoric disability. After 6 weeks of hospitalization good neurological potential was predicted and a single chamber ICD (Guidant/CPI Prizm VR) was implanted for secondary prevention of ventricular fibrillation [4]. The transvenous defibrillation lead (Guidant, Endotak Reliance) was inserted into the right ventricle via the right subclavian vein, since the left side had been affected earlier by a catheter associated thrombosis. The screw-in lead tip was positioned at the lower interventricular septum with a sensing of 12 mV and a pacing threshold of 0.4 V/0.4 ms. The
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