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Related Experiment Videos

Peripheral nerve conduction stimulation: its effect on cardiac pacemakers.

M M LaBan1, D Petty, A M Hauser

  • 1Department of PM&R, William Beaumont Hospital, Royal Oak, MI 48072.

Archives of Physical Medicine and Rehabilitation
|May 1, 1988
PubMed
Summary

Nerve conduction stimulation testing (NCST) may pose a risk to cardiac pacemakers, particularly unipolar leads. However, uneventful studies in twenty patients suggest untoward responses are unlikely within standard clinical parameters.

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Area of Science:

  • Biomedical Engineering
  • Clinical Electrophysiology

Background:

  • External electromagnetic interference (EMI) poses a risk to cardiac pacemaker function.
  • Advancements in pacemaker technology have improved shielding, but increased device usage may still lead to EMI complications.

Purpose of the Study:

  • To evaluate the clinical and laboratory effects of nerve conduction stimulation testing (NCST) on patients with cardiac pacemakers.
  • To assess the potential for pacemaker interference during NCST.

Main Methods:

  • Theoretical modeling to estimate interference potentials at the pacemaker input during NCST.
  • Laboratory testing of pacemaker sensitivity to interference for three different pacemaker models.
  • Clinical evaluation of twenty patients undergoing NCST, with electrocardiographic monitoring in five.

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Main Results:

  • Potential for pacemaker interference was identified, predominantly with unipolar pacing leads.
  • Laboratory estimates correlated with sensitivity tests.
  • Twenty patients completed NCST without adverse events.

Conclusions:

  • While nerve conduction stimulation testing has the potential to interfere with demand-type pacemakers, untoward responses are unlikely if current paths remain within standard clinical parameters.
  • Unipolar pacing leads represent a higher risk for interference.