Related manufacturer reference numbers: 2017865-2023-42320.It was reported by the patient that the right ventricular lead exhibited inappropriate shock.Upon review of transmission, it was found that the right ventricular (rv) lead exhibited inappropriate shock due to t-wave over-sensing.It was also found that the rv lead exhibited r-wave amplitude variation, low lead impedance, and high capture threshold.It was believed that the patient had twiddler's syndrome as the implantable cardioverter defibrillator (icd) was found to be migrated.The rv lead was explanted and replaced, and the icd was repositioned during the same procedure on (b)(6) 2023.The patient was discharged home in good condition.
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