Inappropriate Shocks Delivered by an ICD as a Result of Sensed Potentials from a Transcutaneous Electronic Nerve Stimulation Unit
Inappropriate Shocks Delivered by an ICD as a Result of Sensed Potentials from a Transcutaneous Electronic Nerve Stimulation Unit
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由于经皮电子神经刺激装置感应到电势而由 ICD 发出不适当的电击
DOI：
10.1111/j.1540-8159.1998.tb00027.x
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发表时间：
1998
期刊：
影响因子：
--
通讯作者：
M. Schoenfeld
中科院分区：
文献类型：
--
作者：
D. Philbin;M. Marieb;KESHAVA H. Aithal;M. Schoenfeld
虽然经皮神经电刺激(TENS)单元可能干扰心脏起搏器的适当功能已有很好的文献记载，但TENS单元与ICD之间的不良相互作用从未见过报道。我们描述了一位患者，在该患者中，TENS单元制造了一个电子伪影，经静脉ICD将其解释为室颤，导致提供不适当的治疗。ICD患者应谨慎使用TENS单元。
Although the potential for transcutaneous electronic nerve stimulation (TENS) units to interfere with appropriate function of cardiac pacemakers is well documented, an adverse interaction between a TENS unit and an ICD has never been reported. We describe a patient in whom a TENS unit created an electrical artifact that was interpreted by a transvenous ICD as ventricular fibrillation, leading to the delivery of inappropriate therapy. TENS units should be used with caution in patients with ICDs.