Zusammenfassung
Dieser Bericht stellt den Fall eines Patienten dar, der während einer Reizstromanwendung im Lendenbereich im Rahmen einer Physiotherapie eine Schocktherapie durch seinen implantierten Cardioverter-Defibrillator (ICD) erhalten hat. Die Analyse des gespeicherten Elektrogramms zeigt, dass es sich um eine inadäquate Therapie durch elektromagnetische Interferenz mit dem Reizstrom gehandelt hat. Auf diese mögliche Interaktion sollten sowohl Patienten mit einem ICD, als auch Physiotherapeuten im Vorfeld hingewiesen werden.
Summary
This report illustrates the case of a patient with an implantable cardioverter defibrillator (ICD) who during physiotherapy with transcutaneous electrical stimulation of the lumbar musculature perceived a shock discharge by the ICD. Analysis of the stored electrogram showed inappropriate therapy due to electromagnetic interference with the external stimulation. Patients as well as physiotherapists should be informed about this potential interaction to avoid such iatrogenic, inappropriate ICD therapy.
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References
Kolb C, Zrenner B, Schmitt C (2001) Incidence of electromagnetic interference in implantable cardioverter defibrillators. PACE 24:465–468
Siu CW, Tse HF, Lau CP (2005) Inappropriate implantable cardioverter defibrillator shock from a transcutaneous muscle stimulation device therapy. J Interv Card Electrophysiol 13(1):73–75
Gradaus R, Block M, Brachmann J, Breithardt G et al on behalf of the German EURID registry (2003) Mortality, morbidity, and complications in 3344 patients with implantable cardioverter defibrillators. PACE 26:1511–1518
Vlay SC (2002) Fish pond electromagnetic interference resulting in an inappropriate implantable cardioverter defibrillator shock. PACE 25:1532
Vlay SC (1998) Electromagnetic interference and ICD discharge related to chiropractic treatment. PACE 21:2009
Volkmann H (2004) Interference of implanted pacemaker in medical practice. Herzschr Electrophys 15:65–72
Sabate X, Moure C, Nicolas J, Sedo M, Navarro X (2001) Washing machine associated 50 Hz detected as ventricular fibrillation by an implanted cardioverter defibrillator. PACE 24:1281–1283
Irnich W (1994) A serious case of radiofrequency EMI, when an ICD wearer manipulated a remote control of a toy car. PACE 17:685
Fetter JG, Ivans V, Benditt DG, Collins J (1998) Digital cellular telephone interaction with implantable cardioverter-defibrillators. J Am Coll Cardiol. 31:623–628
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Nägele, H., Azizi, M. Inappropriate ICD discharge induced by electrical interference from a physio-therapeutic muscle stimulation device. Herzschr. Elektrophys. 17, 137–139 (2006). https://doi.org/10.1007/s00399-006-0527-8
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DOI: https://doi.org/10.1007/s00399-006-0527-8