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Electromagnetic Interference by Transcutaneous Neuromuscular Electrical Stimulation in Patients with Bipolar Sensing Implantable Cardioverter Defibrillators:
Author(s) -
CREVENNA RICHARD,
STIX GÜNTER,
PLEINER JOHANNES,
PEZAWAS THOMAS,
SCHMIDINGER HERWIG,
QUITTAN MICHAEL,
WOLZT MICHAEL
Publication year - 2003
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1046/j.1460-9592.2003.00104.x
Subject(s) - medicine , emi , stimulation , electromagnetic interference , cardiology , thigh , physical medicine and rehabilitation , surgery , electrical engineering , engineering
CREVENNA, R., et al .: Electromagnetic Interference by Transcutaneous Neuromuscular Electrical Stimulation in Patients with Bipolar Sensing Implantable Cardioverter Defibrillators: A Pilot Safety Study.Neuromuscular electrical stimulation (NMES) is a frequently applied therapy for the treatment of pain and a therapeutic option to increase thigh muscle strength and endurance capacity in patients with heart failure. Electromagnetic interference (EMI) by the signals with sensing of ICDs is possible. Eight patients with subpectoral ICD systems and different transvenous bipolar sensing leads were subjected to electrical stimulation of the neck and shoulder and of the thighs using different stimulation algorithms. EMI with ventricular sensing was detectable in three of eight subjects. EMI occurred during stimulation of the neck ( n = 2 ) and thigh ( n = 2 ). EMI by NMES with atrial sensing was seen in two of four subjects with dual chamber ICDs. The safety of peripheral NMES has to be individually tested as EMI can also occur in ICD patients with bipolar sensing. (PACE 2003; 26[Pt. I]:626–629)