{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T21:26:23Z","timestamp":1748553983158,"version":"3.37.3"},"reference-count":12,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,4,25]],"date-time":"2018-04-25T00:00:00Z","timestamp":1524614400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>T\u2010wave oversensing (TWOS) is a feared complication after subcutaneous implantable cardioverter\u2010defibrillator (S\u2010ICD) implantation, potentially leading to inappropriate shocks (IS) with tremendous impact on quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Hypothesis<\/jats:title><jats:p>Postoperative ergometry facilitates primary and secondary prevention of TWOS or other potential causes of IS and optimizes S\u2010ICD programming.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analyze the impact of ergometry guided\u2010programming (EMGP) on primary and secondary prevention of TWOS\/IS in S\u2010ICD patients, we screened 146 patients implanted in our center (2010\u20132016) for the incidence of TWOS\/IS during postoperative ergometry. Furthermore, to evaluate the outcome in 123 eligible patients complete follow\u2010up (FU) of at least 6 months up to 2 years was retrospectively analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>(1) Primary prevention: TWOS could only be provoked postoperatively in 3.7% of patients (n\u00a0=\u00a03\/82). FU analyses did not reveal significant differences compared to our control group (Ctrl: n\u00a0=\u00a06\/61, 9.8%\u00a0vs EMGP: n\u00a0=\u00a05\/62, 8.1%; P\u00a0=\u00a00.731). Further subgroup analyses of patients with postoperative ergometry in the close postoperative period\u00a0(&lt;\u00a07 days; n\u00a0=\u00a03\/45, 6.7%; P\u00a0=\u00a00.563) did not yield any significant difference.<\/jats:p><jats:p>(2) Secondary prevention: We found various causes of TWOS\/IS. In patients who underwent reprogramming due to previous TWOS\/IS events we observed a 66.7% (n\u00a0=\u00a06\/9) reduction of TWOS\/IS using EMGP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>TWOS\/IS has various causes while not all cases are exercise\u2010associated. Postoperative ergometry does not seem to be useful for primary prevention. Further trials need to investigate the potential benefit of EMGP for secondary prevention of TWOS\/IS.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pace.13327","type":"journal-article","created":{"date-parts":[[2018,3,24]],"date-time":"2018-03-24T01:48:43Z","timestamp":1521856123000},"page":"567-571","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Postoperative ergometry\u2010guided programming does not prevent T\u2010wave oversensing and inappropriate shocks in S\u2010ICD patients"],"prefix":"10.1111","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1413-5152","authenticated-orcid":false,"given":"Robert","family":"Larbig","sequence":"first","affiliation":[{"name":"Division of Electrophysiology, Department of Cardiovascular Medicine University of Muenster  Muenster Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lukas J.","family":"Motloch","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine II Paracelsus Medical University  Salzburg Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Bettin","sequence":"additional","affiliation":[{"name":"Division of Electrophysiology, Department of Cardiovascular Medicine University of Muenster  Muenster Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alicia","family":"Fischer","sequence":"additional","affiliation":[{"name":"Division of Electrophysiology, Department of Cardiovascular Medicine University of Muenster  Muenster Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1431-9886","authenticated-orcid":false,"given":"Gerrit","family":"Frommeyer","sequence":"additional","affiliation":[{"name":"Division of Electrophysiology, Department of Cardiovascular Medicine University of Muenster  Muenster Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florian","family":"Reinke","sequence":"additional","affiliation":[{"name":"Division of Electrophysiology, Department of Cardiovascular Medicine University of Muenster  Muenster Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Loeher","sequence":"additional","affiliation":[{"name":"Department of Cardiac and Thoracic Surgery University of Muenster  Muenster Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lars","family":"Eckardt","sequence":"additional","affiliation":[{"name":"Division of Electrophysiology, Department of Cardiovascular Medicine University of Muenster  Muenster Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"K\u00f6be","sequence":"additional","affiliation":[{"name":"Division of Electrophysiology, Department of Cardiovascular Medicine University of Muenster  Muenster 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