| The simultaneous use of a biventricular implantable cardioverter defibrillator (ICD) and transcutaneous electrical nerve stimulation (TENS) unit: implications for device interaction. | |
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MedLine Citation:
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PMID: 12504647 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Undesirable sensing of external sources of electromagnetic interference by ICDs is well known. A transcutaneous electrical nerve stimulation (TENS) device has been reported to interfere with an ICD resulting in an inappropriate shock and patients with implanted defibrillators or pacemakers have been cautioned about the use of such units to treat chronic pain. We describe a patient regularly using TENS therapy for pain who subsequently received a biventricular ICD for malignant ventricular arrhythmias and medically refractory cardiac failure. He underwent testing for device interaction immediately post-implant. This did not show inappropriate sensing by either ICD or pacemaker component of his heart failure device. However, six months later, the patient complained of dizziness and bradycardia with application of TENS. Further testing did reveal interference with pacemaker function. Thus, even if initial testing is negative and reassuring, patients with a biventricular ICD still require careful follow-up for potential interaction and should be cautioned against the use of TENS, especially if they are pacemaker-dependent. |
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Authors:
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J R Pyatt; D Trenbath; M Chester; D T Connelly |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology Volume: 5 ISSN: 1099-5129 ISO Abbreviation: Europace Publication Date: 2003 Jan |
Date Detail:
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Created Date: 2002-12-30 Completed Date: 2003-05-06 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100883649 Medline TA: Europace Country: England |
Other Details:
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Languages: eng Pagination: 91-3 Citation Subset: IM |
Copyright Information:
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Copyright 2003 The European Society of Cardiology. |
Affiliation:
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The Cardiothoracic Centre, Liverpool, UK. Jason.Pyatt@ccl-tr.nwest.nhs.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angina Pectoris / therapy Defibrillators, Implantable* Electrocardiography Humans Male Myocardial Ischemia / therapy Transcutaneous Electric Nerve Stimulation* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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