Document Detail

Management of cardiac pacemaker in a patient with spinal cord stimulator implant.
MedLine Citation:
PMID:  9520248     Owner:  NLM     Status:  MEDLINE    
Spinal cord stimulation reduces pain of critical ischaemia in patients with severe inoperable coronary artery and peripheral vascular disease by increasing microvascular flow. Patients with cardiac pacemaker may be denied a spinal cord stimulator (SCS) implant because of the risk of compromising pacemaker function by inhibition or reversion to asynchronous noise-pacing mode. We describe the management of a patient with an SCS implant for lower limb ischaemia who required a pacemaker. We suggest that with modern pacemakers it is safe to implant a spinal cord stimulator simultaneously with a pacemaker provided adequate precautions are taken to prevent interdevice interference.
R Iyer; T V Gnanadurai; P Forsey
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pain     Volume:  74     ISSN:  0304-3959     ISO Abbreviation:  Pain     Publication Date:  1998 Feb 
Date Detail:
Created Date:  1998-05-04     Completed Date:  1998-05-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7508686     Medline TA:  Pain     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  333-5     Citation Subset:  IM    
Dudley Group of Hospitals NHS Trust, Russells Hall Hospital, West Midlands, UK.
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MeSH Terms
Angina Pectoris / therapy
Electric Stimulation Therapy*
Myocardial Ischemia / therapy
Pacemaker, Artificial*
Pain / therapy*
Peripheral Vascular Diseases / therapy
Spinal Cord

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