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Europace 2003 5(4):397-402; doi:10.1016/S1099-5129(03)00086-2
© 2003 by European Society of Cardiology
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CASE REPORT

Potential device interaction of a dual chamber implantable cardioverter defibrillator in a patient with continuous spinal cord stimulation

R. Schimpf1, C. Wolpert1, S. Herwig1, C. Schneider2, B. Esmailzadeh1 and B. Lüderitz1

1Department of Medicine-Cardiology, University of Bonn Bonn, Germany; 2Department of Cardiac Surgery, University of Bonn Bonn, Germany

Spinal cord or thalamic deep brain stimulation with a pacemaker is becoming more important in the treatment of drug refractory pain due to peripheral vascular disease, angina pectoris and intractable tremor in patients with neurologic disorders such as Parkinson's disease. An additional indication for a cardiac pacemaker or implantable cardioverter defibrillator raises concerns about possible interactions between the implanted electrical devices. We report on a patient with existing spinal cord stimulation who survived sudden cardiac death and received a dual chamber cardioverter defibrillator capable of delivering tiered therapies in both the atrium and ventricle.

Key Words: Spinal cord stimulation, neurostimulation, cardiac pacemaker, implantable cardioverter defibrillator, interference

Correspondence: Rainer Schimpf, Ist Department of Medicine, University Hospital Mannheim, Theodor-Kutzer-Ufer 1-3, D-68167 Mannheim, Germany. Tel.: +49-621-3832206; Fax: +49-621-3833061.E-mail: rainer.schimpf{at}med.ma.uni-heidelberg.de


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