{"id":161,"date":"2025-07-09T09:54:35","date_gmt":"2025-07-09T09:54:35","guid":{"rendered":"https:\/\/cardiocases.com\/?page_id=161"},"modified":"2025-10-07T13:30:54","modified_gmt":"2025-10-07T13:30:54","slug":"diafragmatic-myopotentials","status":"publish","type":"page","link":"https:\/\/cardiocases.com\/fr\/pacing-defibrillation\/basic-concepts\/icd\/diafragmatic-myopotentials\/","title":{"rendered":"Myopotentiels diaphragmatiques"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"161\" class=\"elementor elementor-161\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b8568dc e-con-full e-flex e-con e-parent\" data-id=\"b8568dc\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-324b748 elementor-widget elementor-widget-heading\" data-id=\"324b748\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Diafragmatic myopotentials<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-053371f elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"053371f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-70bf49c elementor-widget elementor-widget-heading\" data-id=\"70bf49c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Discover relevant cases<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-fbea21d e-con-full e-flex e-con e-child\" data-id=\"fbea21d\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-62c2a37 elementor-grid-3 elementor-grid-tablet-2 elementor-grid-mobile-1 elementor-widget elementor-widget-loop-grid\" data-id=\"62c2a37\" data-element_type=\"widget\" data-e-type=\"widget\" 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data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-de2f700 e-flex e-con-boxed e-con e-child\" data-id=\"de2f700\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4d7697c elementor-widget elementor-widget-heading\" data-id=\"4d7697c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/cardiocases.com\/fr\/pacing_trace\/oversensing-of-diaphragmatic-myopotentials-incepta-icd\/\">Oversensing of diaphragmatic myopotentials - Incepta ICD<\/a><\/h4>\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-94527a5 e-con-full e-flex e-con e-child\" data-id=\"94527a5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-4402c8b e-con-full e-flex e-con e-child\" data-id=\"4402c8b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ed2868c elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"ed2868c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-tag\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 252.118V48C0 21.49 21.49 0 48 0h204.118a48 48 0 0 1 33.941 14.059l211.882 211.882c18.745 18.745 18.745 49.137 0 67.882L293.823 497.941c-18.745 18.745-49.137 18.745-67.882 0L14.059 286.059A48 48 0 0 1 0 252.118zM112 64c-26.51 0-48 21.49-48 48s21.49 48 48 48 48-21.49 48-48-21.49-48-48-48z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-de1b005 e-con-full e-flex e-con e-child\" data-id=\"de1b005\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8f69d88 elementor-widget elementor-widget-text-editor\" data-id=\"8f69d88\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/cardiocases.com\/fr\/pacing_company\/boston-scientific\/\" rel=\"tag\">Boston Scientific<\/a>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-160a552 e-con-full e-flex e-con e-child\" data-id=\"160a552\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-75352b6 e-con-full e-flex e-con e-child\" data-id=\"75352b6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-63814c0 elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"63814c0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-tag\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 252.118V48C0 21.49 21.49 0 48 0h204.118a48 48 0 0 1 33.941 14.059l211.882 211.882c18.745 18.745 18.745 49.137 0 67.882L293.823 497.941c-18.745 18.745-49.137 18.745-67.882 0L14.059 286.059A48 48 0 0 1 0 252.118zM112 64c-26.51 0-48 21.49-48 48s21.49 48 48 48 48-21.49 48-48-21.49-48-48-48z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-37291e4 e-con-full e-flex e-con e-child\" data-id=\"37291e4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1c74ec9 elementor-widget elementor-widget-text-editor\" data-id=\"1c74ec9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/cardiocases.com\/fr\/device_category\/icd\/\" rel=\"tag\">Implantable cardiac defibrillator<\/a>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bfe0ea9 e-con-full e-flex e-con e-child\" data-id=\"bfe0ea9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a6f7b9a elementor-widget elementor-widget-button\" data-id=\"a6f7b9a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/cardiocases.com\/fr\/pacing_trace\/oversensing-of-diaphragmatic-myopotentials-incepta-icd\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Read more<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-elementor-type=\"loop-item\" data-elementor-id=\"1685\" class=\"elementor elementor-1685 e-loop-item e-loop-item-9100 post-9100 pacing_trace type-pacing_trace status-publish hentry pacing_company-boston-scientific device_category-icd icd_labels-oversensing\" data-elementor-post-type=\"elementor_library\" data-custom-edit-handle=\"1\">\n\t\t\t<div class=\"elementor-element elementor-element-f60fb90 e-con-full e-flex e-con e-parent\" data-id=\"f60fb90\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-de2f700 e-flex e-con-boxed e-con e-child\" data-id=\"de2f700\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4d7697c elementor-widget elementor-widget-heading\" data-id=\"4d7697c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/cardiocases.com\/fr\/pacing_trace\/t-wave-oversensing-energen-icd\/\">T wave oversensing -  Energen ICD<\/a><\/h4>\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-94527a5 e-con-full e-flex e-con e-child\" data-id=\"94527a5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-4402c8b e-con-full e-flex e-con e-child\" data-id=\"4402c8b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ed2868c elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"ed2868c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-tag\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 252.118V48C0 21.49 21.49 0 48 0h204.118a48 48 0 0 1 33.941 14.059l211.882 211.882c18.745 18.745 18.745 49.137 0 67.882L293.823 497.941c-18.745 18.745-49.137 18.745-67.882 0L14.059 286.059A48 48 0 0 1 0 252.118zM112 64c-26.51 0-48 21.49-48 48s21.49 48 48 48 48-21.49 48-48-21.49-48-48-48z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-de1b005 e-con-full e-flex e-con e-child\" data-id=\"de1b005\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8f69d88 elementor-widget elementor-widget-text-editor\" data-id=\"8f69d88\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/cardiocases.com\/fr\/pacing_company\/boston-scientific\/\" rel=\"tag\">Boston Scientific<\/a>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-160a552 e-con-full e-flex e-con e-child\" data-id=\"160a552\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-75352b6 e-con-full e-flex e-con e-child\" data-id=\"75352b6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-63814c0 elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"63814c0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-tag\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 252.118V48C0 21.49 21.49 0 48 0h204.118a48 48 0 0 1 33.941 14.059l211.882 211.882c18.745 18.745 18.745 49.137 0 67.882L293.823 497.941c-18.745 18.745-49.137 18.745-67.882 0L14.059 286.059A48 48 0 0 1 0 252.118zM112 64c-26.51 0-48 21.49-48 48s21.49 48 48 48 48-21.49 48-48-21.49-48-48-48z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-37291e4 e-con-full e-flex e-con e-child\" data-id=\"37291e4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1c74ec9 elementor-widget elementor-widget-text-editor\" data-id=\"1c74ec9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/cardiocases.com\/fr\/device_category\/icd\/\" rel=\"tag\">Implantable cardiac defibrillator<\/a>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bfe0ea9 e-con-full e-flex e-con e-child\" data-id=\"bfe0ea9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a6f7b9a elementor-widget elementor-widget-button\" data-id=\"a6f7b9a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/cardiocases.com\/fr\/pacing_trace\/t-wave-oversensing-energen-icd\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Read more<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-elementor-type=\"loop-item\" data-elementor-id=\"1685\" class=\"elementor elementor-1685 e-loop-item e-loop-item-9082 post-9082 pacing_trace type-pacing_trace status-publish hentry pacing_company-boston-scientific device_category-icd icd_labels-oversensing\" data-elementor-post-type=\"elementor_library\" data-custom-edit-handle=\"1\">\n\t\t\t<div class=\"elementor-element elementor-element-f60fb90 e-con-full e-flex e-con e-parent\" data-id=\"f60fb90\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-de2f700 e-flex e-con-boxed e-con e-child\" data-id=\"de2f700\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4d7697c elementor-widget elementor-widget-heading\" data-id=\"4d7697c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/cardiocases.com\/fr\/pacing_trace\/early-displacement-of-a-right-ventricular-lead-into-the-atrium-resonate-crt\/\">Early displacement of a right ventricular lead into the atrium - Resonate CRT<\/a><\/h4>\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-94527a5 e-con-full e-flex e-con e-child\" data-id=\"94527a5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-4402c8b e-con-full e-flex e-con e-child\" data-id=\"4402c8b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ed2868c elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"ed2868c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-tag\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 252.118V48C0 21.49 21.49 0 48 0h204.118a48 48 0 0 1 33.941 14.059l211.882 211.882c18.745 18.745 18.745 49.137 0 67.882L293.823 497.941c-18.745 18.745-49.137 18.745-67.882 0L14.059 286.059A48 48 0 0 1 0 252.118zM112 64c-26.51 0-48 21.49-48 48s21.49 48 48 48 48-21.49 48-48-21.49-48-48-48z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-de1b005 e-con-full e-flex e-con e-child\" data-id=\"de1b005\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8f69d88 elementor-widget elementor-widget-text-editor\" data-id=\"8f69d88\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/cardiocases.com\/fr\/pacing_company\/boston-scientific\/\" rel=\"tag\">Boston Scientific<\/a>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-160a552 e-con-full e-flex e-con e-child\" data-id=\"160a552\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-75352b6 e-con-full e-flex e-con e-child\" data-id=\"75352b6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-63814c0 elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"63814c0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-tag\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 252.118V48C0 21.49 21.49 0 48 0h204.118a48 48 0 0 1 33.941 14.059l211.882 211.882c18.745 18.745 18.745 49.137 0 67.882L293.823 497.941c-18.745 18.745-49.137 18.745-67.882 0L14.059 286.059A48 48 0 0 1 0 252.118zM112 64c-26.51 0-48 21.49-48 48s21.49 48 48 48 48-21.49 48-48-21.49-48-48-48z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-37291e4 e-con-full e-flex e-con e-child\" data-id=\"37291e4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1c74ec9 elementor-widget elementor-widget-text-editor\" data-id=\"1c74ec9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/cardiocases.com\/fr\/device_category\/icd\/\" rel=\"tag\">Implantable cardiac defibrillator<\/a>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bfe0ea9 e-con-full e-flex e-con e-child\" data-id=\"bfe0ea9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a6f7b9a elementor-widget elementor-widget-button\" data-id=\"a6f7b9a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/cardiocases.com\/fr\/pacing_trace\/early-displacement-of-a-right-ventricular-lead-into-the-atrium-resonate-crt\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Read more<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-elementor-type=\"loop-item\" data-elementor-id=\"1685\" class=\"elementor elementor-1685 e-loop-item e-loop-item-9077 post-9077 pacing_trace type-pacing_trace status-publish hentry pacing_company-boston-scientific device_category-icd icd_labels-oversensing\" data-elementor-post-type=\"elementor_library\" data-custom-edit-handle=\"1\">\n\t\t\t<div class=\"elementor-element elementor-element-f60fb90 e-con-full e-flex e-con e-parent\" data-id=\"f60fb90\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-de2f700 e-flex e-con-boxed e-con e-child\" data-id=\"de2f700\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4d7697c elementor-widget elementor-widget-heading\" data-id=\"4d7697c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/cardiocases.com\/fr\/pacing_trace\/oversensing-of-atrial-activity-by-the-defibrillation-lead-during-an-episode-of-atrial-arrhythmia\/\">Oversensing of atrial activity by the defibrillation lead during an episode of atrial arrhythmia<\/a><\/h4>\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-94527a5 e-con-full e-flex e-con e-child\" data-id=\"94527a5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-4402c8b e-con-full e-flex e-con e-child\" data-id=\"4402c8b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ed2868c elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"ed2868c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-tag\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 252.118V48C0 21.49 21.49 0 48 0h204.118a48 48 0 0 1 33.941 14.059l211.882 211.882c18.745 18.745 18.745 49.137 0 67.882L293.823 497.941c-18.745 18.745-49.137 18.745-67.882 0L14.059 286.059A48 48 0 0 1 0 252.118zM112 64c-26.51 0-48 21.49-48 48s21.49 48 48 48 48-21.49 48-48-21.49-48-48-48z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-de1b005 e-con-full e-flex e-con e-child\" data-id=\"de1b005\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8f69d88 elementor-widget elementor-widget-text-editor\" data-id=\"8f69d88\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/cardiocases.com\/fr\/pacing_company\/boston-scientific\/\" rel=\"tag\">Boston Scientific<\/a>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-160a552 e-con-full e-flex e-con e-child\" data-id=\"160a552\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-75352b6 e-con-full e-flex e-con e-child\" data-id=\"75352b6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-63814c0 elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"63814c0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-tag\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 252.118V48C0 21.49 21.49 0 48 0h204.118a48 48 0 0 1 33.941 14.059l211.882 211.882c18.745 18.745 18.745 49.137 0 67.882L293.823 497.941c-18.745 18.745-49.137 18.745-67.882 0L14.059 286.059A48 48 0 0 1 0 252.118zM112 64c-26.51 0-48 21.49-48 48s21.49 48 48 48 48-21.49 48-48-21.49-48-48-48z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-37291e4 e-con-full e-flex e-con e-child\" data-id=\"37291e4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1c74ec9 elementor-widget elementor-widget-text-editor\" data-id=\"1c74ec9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/cardiocases.com\/fr\/device_category\/icd\/\" rel=\"tag\">Implantable cardiac defibrillator<\/a>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bfe0ea9 e-con-full e-flex e-con e-child\" data-id=\"bfe0ea9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a6f7b9a elementor-widget elementor-widget-button\" data-id=\"a6f7b9a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/cardiocases.com\/fr\/pacing_trace\/oversensing-of-atrial-activity-by-the-defibrillation-lead-during-an-episode-of-atrial-arrhythmia\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Read more<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div data-elementor-type=\"loop-item\" data-elementor-id=\"1685\" class=\"elementor elementor-1685 e-loop-item e-loop-item-9072 post-9072 pacing_trace type-pacing_trace status-publish hentry pacing_company-boston-scientific device_category-icd icd_labels-oversensing\" data-elementor-post-type=\"elementor_library\" data-custom-edit-handle=\"1\">\n\t\t\t<div class=\"elementor-element elementor-element-f60fb90 e-con-full e-flex e-con e-parent\" data-id=\"f60fb90\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-de2f700 e-flex e-con-boxed e-con e-child\" data-id=\"de2f700\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4d7697c elementor-widget elementor-widget-heading\" data-id=\"4d7697c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/cardiocases.com\/fr\/pacing_trace\/oversensing-of-the-p-wave-by-the-defibrillation-lead\/\">Oversensing of the P wave by the defibrillation lead<\/a><\/h4>\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-94527a5 e-con-full e-flex e-con e-child\" data-id=\"94527a5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-4402c8b e-con-full e-flex e-con e-child\" data-id=\"4402c8b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ed2868c elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"ed2868c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-tag\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 252.118V48C0 21.49 21.49 0 48 0h204.118a48 48 0 0 1 33.941 14.059l211.882 211.882c18.745 18.745 18.745 49.137 0 67.882L293.823 497.941c-18.745 18.745-49.137 18.745-67.882 0L14.059 286.059A48 48 0 0 1 0 252.118zM112 64c-26.51 0-48 21.49-48 48s21.49 48 48 48 48-21.49 48-48-21.49-48-48-48z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-de1b005 e-con-full e-flex e-con e-child\" data-id=\"de1b005\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8f69d88 elementor-widget elementor-widget-text-editor\" data-id=\"8f69d88\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/cardiocases.com\/fr\/pacing_company\/boston-scientific\/\" rel=\"tag\">Boston Scientific<\/a>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-160a552 e-con-full e-flex e-con e-child\" data-id=\"160a552\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-75352b6 e-con-full e-flex e-con e-child\" data-id=\"75352b6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-63814c0 elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"63814c0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg aria-hidden=\"true\" 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class=\"e-load-more-anchor\" data-page=\"1\" data-max-page=\"9\" data-next-page=\"https:\/\/cardiocases.com\/fr\/?e-page-62c2a37=2\"><\/div>\n\t\t\t\t<nav class=\"elementor-pagination\" aria-label=\"Pagination\">\n\t\t\t<span class=\"page-numbers prev\">Previous<\/span>\n<span aria-current=\"page\" class=\"page-numbers current\"><span class=\"elementor-screen-only\">Page<\/span>1<\/span>\n<a class=\"page-numbers\" href=\"https:\/\/cardiocases.com\/fr\/wp-json\/wp\/v2\/pages\/161\/?e-page-62c2a37=2\"><span class=\"elementor-screen-only\">Page<\/span>2<\/a>\n<a class=\"page-numbers\" href=\"https:\/\/cardiocases.com\/fr\/wp-json\/wp\/v2\/pages\/161\/?e-page-62c2a37=3\"><span class=\"elementor-screen-only\">Page<\/span>3<\/a>\n<span class=\"page-numbers dots\">\u2026<\/span>\n<a class=\"page-numbers\" href=\"https:\/\/cardiocases.com\/fr\/wp-json\/wp\/v2\/pages\/161\/?e-page-62c2a37=5\"><span class=\"elementor-screen-only\">Page<\/span>5<\/a>\n<a class=\"page-numbers next\" href=\"https:\/\/cardiocases.com\/fr\/?e-page-62c2a37=2\">Next<\/a>\t\t<\/nav>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-55f037e e-con-full e-flex e-con e-parent\" data-id=\"55f037e\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6358234 elementor-widget elementor-widget-text-editor\" data-id=\"6358234\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>The use of automatic gain control and auto-adjusting sensitivity algorithms throughout the cardiac cycle, optimizes the capacities of the device to appropriately sense VF signals but also increases the risk of myopotential oversensing at the end of diastole, when sensitivity reaches its maximum.<\/p><p>Myopotential oversensing is rare but was more commonly observed in pacemaker-dependent patients implanted with older Boston Scientific ICDs connected to an integrated bipolar lead positioned at the RV apex. Being paced continuously is a variable associated with an increased risk of diaphragmatic oversensing since after pacing, the time at maximal sensitivity is prolonged in devices that utilize Automatic Gain Control especially at slow heart rates. Integrated bipolar leads allow for a wider sensing antenna as the large area of the RV shocking coil is shared as the anode for sensing; this could explain a higher incidence of inappropriate detection. In pacing-dependent patients, the risk of PM inhibition during oversensing episodes is also increased. Clinically, it may result in syncope from inhibition of pacing followed by the delivery of an inappropriate shock.<\/p><p>Oversensing of diaphragmatic myopotentials presents as low-amplitude, high frequency signals most of the time detected exclusively in the near-field channel with no alteration in the shock electrogram. The 2 main particularities of these signals are that the changes in amplitude sometimes follow a respiratory cycle and that they can be reproduced with specific provocation maneuvers as deep inspiration\/expiration, Vasalva and coughing.\u00a0\u00a0\u00a0<\/p><p>When a defibrillator senses these myopotentials, inhibition of pacing and\/or inappropriate detection of VF may ensue. Oversensing does not occur until automatic gain control increases the gain sufficiently and is more likely after long diastolic intervals or after ventricular paced events. The occurrence of a large R-wave reduces the level of sensibility and interrupts at least temporarily the oversensing explaining why prolonged oversensing is more common in pacemaker-dependent patients.<\/p><p>Oversensing of diaphragmatic myopotentials may be corrected by reducing ventricular sensitivity. Verification of reliable VF sensing at the new level of sensitivity must be confirmed. In pacemaker-dependent patients, pacing at a faster rate may reduce oversensing. In rare cases, a surgical revision is required with implantation of a new high-voltage true bipolar lead (DF4 systems) or of a pace\/sense lead (DF1 systems) away from the diaphragm (usually positioned at the RV septum).<\/p><p>The incidence of this problem has decreased in Boston Scientific devices since the introduction of a noise-rejection algorithm. However, to prevent the occurrence of diaphragmatic oversensing, it seems logical, during implantation, to select a septal site instead of the apex when choosing an integrated bipolar lead. Provocative maneuvers can be performed during implantation (forced inspiration if performed during local anesthesia or increased volumes if patient is ventilated) but they may not accurately predict the occurrence of oversensing when the patient will exercise in a supine position.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Diafragmatic myopotentials The use of automatic gain control and auto-adjusting sensitivity algorithms throughout the cardiac cycle, optimizes the capacities of the device to appropriately sense VF signals but also increases the risk of myopotential oversensing at the end of diastole, when sensitivity reaches its maximum. Myopotential oversensing is rare but was more commonly observed in [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":19,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-161","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICD Diaphragmatic Myopotential Oversensing | Cardiocases<\/title>\n<meta name=\"description\" content=\"ICD diaphragmatic myopotential oversensing \u2014 causes, ECG recognition, reprogramming &amp; real device tracings.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cardiocases.com\/fr\/pacing-defibrillation\/basic-concepts\/icd\/diafragmatic-myopotentials\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICD Diaphragmatic Myopotential Oversensing | Cardiocases\" \/>\n<meta property=\"og:description\" content=\"ICD diaphragmatic myopotential oversensing \u2014 causes, ECG recognition, reprogramming &amp; 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