Document Detail


Taser-induced rapid ventricular myocardial capture demonstrated by pacemaker intracardiac electrograms.
MedLine Citation:
PMID:  17573837     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: A Taser weapon is designed to incapacitate violent individuals by causing temporary neuromuscular paralysis due to current application. We report the first case of a Taser application in a person with a dual-chamber pacemaker demonstrating evidence of Taser-induced myocardial capture. METHODS AND RESULTS: Device interrogation was performed in a 53-year-old man with a dual-chamber pacemaker who had received a Taser shot consisting of two barbs delivered simultaneously. Assessment of pacemaker function after Taser application demonstrated normal sensing, pacing thresholds, and lead impedances. Stored event data revealed two high ventricular rate episodes corresponding to the exact time of the Taser application. CONCLUSIONS: This report describes the first human case of ventricular myocardial capture at a rapid rate resulting from a Taser application. This raises the issue as to whether conducted energy devices can cause primary myocardial capture or capture only in association with cardiac devices providing a preferential pathway of conduction to the myocardium.
Authors:
Michael Cao; Jerold S Shinbane; Jeffrey M Gillberg; Leslie A Saxon; Charles D Swerdlow
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-06-16
Journal Detail:
Title:  Journal of cardiovascular electrophysiology     Volume:  18     ISSN:  1540-8167     ISO Abbreviation:  J. Cardiovasc. Electrophysiol.     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-07-26     Completed Date:  2007-09-04     Revised Date:  2009-01-09    
Medline Journal Info:
Nlm Unique ID:  9010756     Medline TA:  J Cardiovasc Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  876-9     Citation Subset:  IM    
Affiliation:
Keck School of Medicine, University of Southern California, Los Angeles, California 90033, USA.
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MeSH Terms
Descriptor/Qualifier:
Electrocardiography / methods*
Electroshock / adverse effects*
Humans
Law Enforcement / methods
Male
Middle Aged
Pacemaker, Artificial*
Ventricular Fibrillation / diagnosis*,  etiology*
Comments/Corrections
Comment In:
J Cardiovasc Electrophysiol. 2007 Dec;18(12):E29-30; author reply E31   [PMID:  18021368 ]
Erratum In:
J Cardiovasc Electrophysiol. 2008 Sep;19(9):1008
Note: Swerdlow, Charles D [added]

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


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