Implantation of a permanent pacemaker in a patient with severe Parkinson's disease and a preexisting bilateral deep brain stimulator

Ozben B., Bilge A. K., Yilmaz E., Adalet K.

INTERNATIONAL HEART JOURNAL, cilt.47, sa.5, ss.803-810, 2006 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 47 Sayı: 5
  • Basım Tarihi: 2006
  • Doi Numarası: 10.1536/ihj.47.803
  • Dergi Adı: INTERNATIONAL HEART JOURNAL
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.803-810
  • Anahtar Kelimeler: Parkinson's disease, deep brain stimulation, cardiac pacemaker, CARDIAC-PACEMAKERS, CARDIOVERTER-DEFIBRILLATOR, NUCLEUS, INTERFERENCE, TREMOR
  • İstanbul Üniversitesi Adresli: Evet

Özet

Cardiac pacemakers and implantable defibrillators are commonly used therapeutic modalities in cardiac arrhythmias. Thalamic deep brain stimulation has also become an important modality in the treatment of drug-refractory tremors and other complications in advanced Parkinson's disease. Concerns exist about the potential electrical interaction and interference between these 2 devices in the same patient. There are only a limited number of reports that have investigated this issue. We describe a patient with advanced Parkinson's disease and a previously implanted deep brain stimulator, who subsequently needed a permanent cardiac pacemaker due to severe bradyarrhythmia. Despite the probability of interference between the devices, there were no problems during implantation of the cardiac pacemaker; both the deep brain stimulator and cardiac pacemaker functioned appropriately afterwards.