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A Most Unusual Pacemaker
Author(s) -
IYER VIVEK,
NAZIF TAMIM M.,
VAZQUEZ JESUS,
REIFFEL JAMES A.
Publication year - 2012
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 - 10.1111/j.1540-8159.2011.03087.x
Subject(s) - medicine , cardiac pacemaker , artifact (error) , cardiology , gastroparesis , refractory (planetary science) , stomach , gastric emptying , neuroscience , biology , physics , astrobiology
We present a case of pacemaker artifact on 12‐lead electrocardiogram that was initially interpreted as malfunction of the patient's dual‐chamber cardiac pacemaker. It was ultimately determined to arise from an extracardiac gastric pacemaker, which had been inserted for refractory, severe diabetic gastroparesis. Proper functioning of both devices was confirmed, and settings were adjusted to test for interdevice interference. This is a report of a patient with both cardiac pacemaker and a gastric pacemaker. We review the literature on patients with multiple pacemaker devices, and conclude with several practical considerations for their care. (PACE 2011; 1–3)