Zusammenfassung
Dieser Bericht stellt den Fall eines Patienten dar, der während einer Reizstromanwendung im Lendenbereich im Rahmen einer Physiotherapie eine Schocktherapie durch seinen implantierten Cardioverter-Defibrillator (ICD) erhalten hat. Die Analyse des gespeicherten Elektrogramms zeigt, dass es sich um eine inadäquate Therapie durch elektromagnetische Interferenz mit dem Reizstrom gehandelt hat. Auf diese mögliche Interaktion sollten sowohl Patienten mit einem ICD, als auch Physiotherapeuten im Vorfeld hingewiesen werden.
Summary
This report illustrates the case of a patient with an implantable cardioverter defibrillator (ICD) who during physiotherapy with transcutaneous electrical stimulation of the lumbar musculature perceived a shock discharge by the ICD. Analysis of the stored electrogram showed inappropriate therapy due to electromagnetic interference with the external stimulation. Patients as well as physiotherapists should be informed about this potential interaction to avoid such iatrogenic, inappropriate ICD therapy.
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Nägele, H., Azizi, M. Inappropriate ICD discharge induced by electrical interference from a physio-therapeutic muscle stimulation device. Herzschr. Elektrophys. 17, 137–139 (2006). https://doi.org/10.1007/s00399-006-0527-8
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DOI: https://doi.org/10.1007/s00399-006-0527-8