Influence of electrical stimulation therapy on permanent pacemaker function
- 25.04.2019
- original article
Erschienen in:
- Verfasst von
-
Florian Egger, MD
Korrespondierender Autor Florian Egger, MD
- 3rd Medical Department with Cardiology, Chest Pain Unit and Intensive Care Medicine, Wilhelminenspital, 1160, Vienna, Austria
-
Christian Hofer, PhD
Christian Hofer, PhD
- Ludwig Boltzmann Institute of Electrical Stimulation and Physical Rehabilitation, Wilhelminenspital, 1160, Vienna, Austria
-
Fabian P. Hammerle
Fabian P. Hammerle
- 3rd Medical Department with Cardiology, Chest Pain Unit and Intensive Care Medicine, Wilhelminenspital, 1160, Vienna, Austria
-
Stefan Löfler
Stefan Löfler
- Ludwig Boltzmann Institute of Electrical Stimulation and Physical Rehabilitation, Wilhelminenspital, 1160, Vienna, Austria
-
Michael Nürnberg, MD
Michael Nürnberg, MD
- 3rd Medical Department with Cardiology, Chest Pain Unit and Intensive Care Medicine, Wilhelminenspital, 1160, Vienna, Austria
-
Lukas Fiedler, MD
Lukas Fiedler, MD
- 2nd Department of Internal Medicine, Hospital Wiener Neustadt, 2700, Wiener Neustadt, Austria
-
Ruxandra Kriz, MD
Ruxandra Kriz, MD
- 3rd Medical Department with Cardiology, Chest Pain Unit and Intensive Care Medicine, Wilhelminenspital, 1160, Vienna, Austria
-
Helmut Kern, MD, PhD
Helmut Kern, MD, PhD
- Ludwig Boltzmann Institute of Electrical Stimulation and Physical Rehabilitation, Wilhelminenspital, 1160, Vienna, Austria
-
Kurt Huber, MD, FESC, FACC, FAHA
Kurt Huber, MD, FESC, FACC, FAHA
- 3rd Medical Department with Cardiology, Chest Pain Unit and Intensive Care Medicine, Wilhelminenspital, 1160, Vienna, Austria
- Medical Faculty, Sigmund-Freud University, 1020, Vienna, Austria
- Erschienen in
- Wiener klinische Wochenschrift | Ausgabe 13-14/2019
Summary
Background
Electrical stimulation therapy (EST) and transcutaneous electrical neuromuscular stimulation (TENS), a modality of EST, have become widely applied, accepted and effective methods for the treatment of musculoskeletal and other pain conditions. According to the rising number of permanent pacemaker (PM) wearers the number of potential candidates for EST with concomitant device implantation is growing. Contradictory recommendations exist regarding the application of EST or TENS on PM wearers.
Aim
The study was carried out to evaluate the impact of EST on PM function.
Methods
A full size model mimicking the electrical characteristics of the human body was used to evaluate the application of EST on permanent PM devices. Various configurations with respect to energy modality, position of the stimulation electrodes and PM device models were evaluated. Intracardiac PM electrogram tracings (iEGM) were analyzed for the interference of EST with PM function.
Results
Unilateral EST application did not cause interference with PM function in any of the configurations (0%; n = 700). On the contrary, bilateral stimulation (350 configurations in total) caused either ventricular inhibition or switch to V00 back-up pacing due to electrical interference in 165 cases (47.1%) depending on the applied stimulation parameters.
Conclusion
The use of EST potentially interferes with PM therapy, especially if the electrodes are positioned bilaterally; however, unilateral EST application appeared to be safe in all tested configurations.
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- Titel
- Influence of electrical stimulation therapy on permanent pacemaker function
- Verfasst von
-
Florian Egger, MD
Christian Hofer, PhD
Fabian P. Hammerle
Stefan Löfler
Michael Nürnberg, MD
Lukas Fiedler, MD
Ruxandra Kriz, MD
Helmut Kern, MD, PhD
Kurt Huber, MD, FESC, FACC, FAHA
- Publikationsdatum
- 25.04.2019
- Verlag
- Springer Vienna
- Erschienen in
-
Wiener klinische Wochenschrift / Ausgabe 13-14/2019
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671 - DOI
- https://doi.org/10.1007/s00508-019-1494-5
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