Key result
Concurrent use of a hypoglossal nerve stimulator and an ICD shows no untoward device interference.
Why the study?
The safety and feasibility of simultaneous use of a hypoglossal nerve upper airway stimulation device and an implantable cardioverter defibrillator had not been reported.
Does simultaneous use of a hypoglossal nerve upper airway stimulation device and an ICD cause device interference?
Case Report (n=1)
Does simultaneous use of a hypoglossal nerve upper airway stimulation device and an ICD cause device interference?
This first reported case suggests that simultaneous use of a hypoglossal nerve upper airway stimulation device and an ICD is feasible without device interference.
UAS may warrant cautious consideration in OSA with systolic dysfunction; hypothesis-generating and should not yet change selection criteria.
The patient is a 62-year-old man with continuous positive airway pressure-intolerant obstructive sleep apnea who was enrolled in a study for a hypoglossal nerve upper airway stimulation device (UAS). Nearly 2.5 years later, he was admitted to the hospital for unstable angina. Diagnostic workup revealed a prior myocardial infarction, an ejection fraction of 30% on maximal medical therapy, and episodes of nonsustained ventricular tachycardia. During hospitalization, the patient received an implantable cardioverter defibrillator (ICD). This is the first reported case of simultaneous use of a UAS and an ICD, and we report no untoward device interference between the two implantable devices.
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Ong et al. (2015) conducted a case report in Obstructive sleep apnea and heart failure with reduced ejection fraction (n=1). Simultaneous use of an implantable cardioverter defibrillator (ICD) and an upper airway stimulation device (UAS) was evaluated on Device interference. Simultaneous use of a hypoglossal nerve upper airway stimulation device and an implantable cardioverter defibrillator resulted in no untoward device interference.
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