Document Detail


The simultaneous use of a biventricular implantable cardioverter defibrillator (ICD) and transcutaneous electrical nerve stimulation (TENS) unit: implications for device interaction.
MedLine Citation:
PMID:  12504647     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
J R Pyatt; D Trenbath; M Chester; D T Connelly
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
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:
Created Date:  2002-12-30     Completed Date:  2003-05-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100883649     Medline TA:  Europace     Country:  England    
Other Details:
Languages:  eng     Pagination:  91-3     Citation Subset:  IM    
Copyright Information:
Copyright 2003 The European Society of Cardiology.
Affiliation:
The Cardiothoracic Centre, Liverpool, UK. Jason.Pyatt@ccl-tr.nwest.nhs.uk
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MeSH Terms
Descriptor/Qualifier:
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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