Skip to main content


Weitere Artikel dieser Ausgabe durch Wischen aufrufen

25.04.2019 | original article | Ausgabe 13-14/2019

Wiener klinische Wochenschrift 13-14/2019

Influence of electrical stimulation therapy on permanent pacemaker function

Wiener klinische Wochenschrift > Ausgabe 13-14/2019
MD Florian Egger, PhD Christian Hofer, Fabian P. Hammerle, Stefan Löfler, MD Michael Nürnberg, MD Lukas Fiedler, MD Ruxandra Kriz, MD, PhD Helmut Kern, MD, FESC, FACC, FAHA Kurt Huber
Wichtige Hinweise
Florian Egger and Christian Hofer contributed equally to the manuscript.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.



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.


The study was carried out to evaluate the impact of EST on PM function.


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.


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.


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.

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Sie möchten Zugang zu diesem Inhalt erhalten? Dann informieren Sie sich jetzt über unsere Produkte:

Abo für kostenpflichtige Inhalte

Über diesen Artikel

Weitere Artikel der Ausgabe 13-14/2019

Wiener klinische Wochenschrift 13-14/2019 Zur Ausgabe

MUW researcher of the month

MUW researcher of the month

mitteilungen der gesellschaft der ärzte in wien