June 1, 1988Pacing and Clinical Electrophysiology
The Use and Interaction of Permanent Pacemakers and the Automatic Implantable Cardioverter Defibrillator
Why the study?
What are the adverse interactions between permanent pacemakers and automatic implantable cardioverter defibrillators in patients with both devices?
Population
9 patients in whom both permanent pacemakers and automatic implantable cardioverter defibrillators were…
Design
Case_series
Authors
Discussion
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Member takes
Implication
Highlights potential adverse pacemaker-AICD interactions; leaves open frequency, mechanisms, and management in larger cohorts.
Structured PICO
What are the adverse interactions between permanent pacemakers and automatic implantable cardioverter defibrillators in patients with both devices?
P
Population
9 patients in whom both permanent pacemakers (unipolar and bipolar) and automatic implantable cardioverter defibrillators (AICD) were implanted
I
Intervention
Evaluation of interactions between permanent pacemakers and AICDs, including use of pacemakers for noninvasive electrophysiological studies and induction of ventricular fibrillation
O
Outcome
Adverse interactions between permanent pacemakers and AICDssafety
The concurrent use of permanent pacemakers and AICDs can lead to significant adverse interactions, including undersensing of ventricular fibrillation and inappropriate device discharges, requiring careful management.
Cite This Study
Cohen et al. (1988) studied this question.