cardiac pacemaker battery discharge after external electrical cardioversion for broad qrs complex tachycardia

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ID: 178596
2008
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Ranked #27 of 63 articles by views in Medical decision making : an international journal of the Society for Medical Decision Making

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Abstract
External electrical cardioversion or defibrillation may be necessary in patients with implanted cardiac pacemaker (PM) or implantable cardioverter defibrillator (ICD). Sudden discharge of high electrical energy employed in direct current (DC) transthoracic countershock may damage the PM/ICD system resulting in a series of possible device malfunctions. For this reason, when defibrillation or cardioversion must be attempted in a patient with a PM or ICD, some precautions should be taken, particularly in PM dependent patients, in order to prevent damage to the device. We report the case of a 76-year-old woman with a dual chamber PM implanted in the right subclavicular region, who received two consecutive transthoracic DC shocks to treat haemodynamically unstable broad QRS complex tachycardia after cardiac surgery performed with a standard sternotomic approach. Because of the sternal wound and thoracic drainage tubes together with the severe clinical conditions, the anterior paddle was positioned near the pulse generator. At the following PM test, a complete flat battery was detected.
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roberto2008indiancardiac Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Zamparelli Roberto;Dello Russo Antonio;Pelargonio Gemma;Martino Annamaria;Sanna Tommaso;Casella Michela;Scapigliati Andrea;De Paulis Stefano;Bellocci Fulvio;Schiavello Rocco
Journal Medical decision making : an international journal of the Society for Medical Decision Making
Year 2008
DOI
DOI not found
URL
http://www.ipej.org/0803/annamaria.htm
Keywords
pacemaker defibrillation electromagnetic interference

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