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Normally functioning inhibited pacemaker concomitant with vertebral nerve stimulator

C Sylvén, M Lindgren-Levander

    Pacing and Clinical Electrophysiology : PACE
    |November 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

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    Electromagnetic interference between cardiac pacing and nerve stimulation is a challenge. This case highlights how nerve stimulator signals can affect cardiac pacing, necessitating specific electrode choices to mitigate interference.

    Area of Science:

    • Cardiology
    • Biomedical Engineering
    • Neuroscience

    Background:

    • Concomitant cardiac pacing and nerve stimulation present challenges due to electromagnetic interference.
    • Vertebral nerve stimulators are used for therapeutic purposes, but their electromagnetic output can affect other implanted devices.

    Observation:

    • A patient with a vertebral nerve stimulator developed sinoatrial (S-A) block and Adams-Stokes attacks, requiring cardiac pacing.
    • Electrocardiogram (ECG) monitoring revealed nerve stimulator potentials interfering with cardiac electrical activity.

    Findings:

    • Nerve stimulator potentials were detected on ECG lead II (0.75 mV) and intracardiac electrograms (0.25 mV with unipolar, undetectable with bipolar).
    • A bipolar pacing electrode was implanted to manage interference from the nerve stimulator.

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    Implications:

    • Bipolar pacing systems may be more effective in mitigating electromagnetic interference from nerve stimulators.
    • Careful consideration of device placement and electrical characteristics is crucial for patients with combined cardiac and nerve stimulation implants.