Document Detail


Management of cardiac pacemaker in a patient with spinal cord stimulator implant.
MedLine Citation:
PMID:  9520248     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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    
Affiliation:
Dudley Group of Hospitals NHS Trust, Russells Hall Hospital, West Midlands, UK.
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MeSH Terms
Descriptor/Qualifier:
Aged
Angina Pectoris / therapy
Electric Stimulation Therapy*
Heart
Humans
Male
Myocardial Ischemia / therapy
Pacemaker, Artificial*
Pain / therapy*
Peripheral Vascular Diseases / therapy
Spinal Cord

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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