Oversensing of transthoracic excitation stimuli in contemporary pacemakers

Ryan, James; Tempel, Nathan D.; Engle, Dean; Hayes, David L.; Cha, Yong‐Mei; Asirvatham, Samuel J.

doi:10.1111/pace.13290

Cited by 5 publications

(4 citation statements)

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“…This phenomenon was found to occur at a particularly elevated rate when Medtronic (Minneapolis, MN) and Abbott (formerly St Jude Medical, St Paul, MN) pacing leads were connected to pacemakers of the Valitude, Accolade, Essentio, Visionist, Proponent, and Altrua 2 pacemaker lines as part of a “hybrid” pacing system. The incidence of transthoracic impedance measurement oversensing was 1.8% in a single center study . In December 2017, Boston Scientific recommended turning off the MV sensor in pacemaker‐dependent patients to prevent inappropriate pacing inhibition from oversensing MV pulses .…”

Section: Introductionmentioning

confidence: 99%

High impedance alert with safety switching: An unreported hazard of hybrid pacing systems

Karnik

Helm

Gaskill

et al. 2019

Cardiovasc electrophysiol

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Several Boston Scientific pacemaker models have a known issue with intermittent oversensing of the minute ventilation sensor when paired with non-Boston Scientific leads. Several of our patients with these hybrid systems have had transient out of range impedances and oversensing after safety switching which we suspected may be related. A retrospective analysis of 395 patients who had pacemakers implanted between 2015-2017 found that transient out of range impedances with safety switching was present in 9% of Boston Scientific pacemakers paired with Abbott or Medtronic leads compared with 0% in other device-lead combinations (P = 0.0089).We postulate that the root cause of the minute ventilation oversensing and transient high impedance issue is the same, a header-lead interaction from low-level incompatibility. Recognizing this issue is critical to prevent unnecessary lead revisions or extractions as it can be prevented with a simple reprogramming of lead pace/sense configuration.

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Section: Introductionmentioning

confidence: 99%

High impedance alert with safety switching: An unreported hazard of hybrid pacing systems

Karnik

Helm

Gaskill

et al. 2019

Cardiovasc electrophysiol

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“…Environmental factors can also impact the functionality of cardiac implantable electronic devices (CIEDs), as electromagnetic interference (EMI) emitted by external devices like magnetic resonance imaging (MRI) machines and cellular phones can pose potential risks. Electromagnetic interference (EMI) has the potential to disturb the functioning of the device, and in more extreme instances, can cause it to become non-functional [ 33 , 43 ]. Several medical conditions have been recognized as potential factors that may contribute to complications associated with cardiac implantable electronic devices (CIEDs).…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review and Meta-analysis of the Prevalence and Risk Factors in Cardiac Implantable Electronic Device Malfunction

Saeed,

AlShafea,

AlQthami

et al. 2023

Journal of the Saudi Heart Association

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Introduction Cardiac implantable electronic devices (CIED) include permanent pacemakers (PPMs), implantable cardioverter defibrillators (ICDs), and cardiac resynchronization therapy (CRT) devices. They treat several cardiac issues and are dependent on batteries; however, similar to any medical equipment, they can fail. The prevalence and risk factors for CIED malfunction must be understood for earlier detection and better patient outcomes. Material and methods A comprehensive search was conducted through electronic bibliographic sources (PubMed and Cochrane) until January 2023 in order to identify reviews, cohort studies and case reports pertaining to CIED. The primary outcome is the probability of CIED malfunction. The secondary outcome concerned significant risk factors. Two authors independently extracted articles by utilizing pre-established data fields. Using a random-effects model, the aggregated prevalence and 95 % confidence intervals (CIs) were computed. Results The meta-analysis comprised eight review articles, twenty-two retrospective studies, and thirty-seven case reports from the systematic review. The eight review articles contained a CIED malfunction of 4.03 % (random-effects model). The pooled prevalence of CIED malfunction in the meta-analysis of 22 retrospective studies was 0.41 percent (using a fixed-effects model) and 8.01 percent (using a random-effects model). Moreover, age, pre-existing cardiac conditions, CIED type, lead placement, and medical device interactions all contributed to an increase in the heterogeneity (I2 = 98.90 %) of the risk of CIED malfunction. Conclusion CIED malfunction is common and more likely to occur in elderly individuals and in certain types of CIED. Clinicians should focus on risk factors and closely monitor the patients with higher probability for CIED malfunction with short intervals.

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“…The presence of this artifact has been described previously in the literature in pacemaker patients, first reported in 1988 in early devices and also more recently in contemporary pacing systems. 5 Ryan and colleagues 6 reported that the prevalence of this abnormality was 1.8% in a large series of 959 pacemaker patients. The finding has not been emphasized, however, in ICD patients.…”

Section: Discussionmentioning

confidence: 99%

Respiratory rate trending as a cause for atrial lead noise: A first report in an implantable cardioverter-defibrillator patient

McClelland

Nayak

Tung

et al. 2018

HeartRhythm Case Reports

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Oversensing of transthoracic excitation stimuli in contemporary pacemakers

Abstract: We regret having omitted LivaNova's using transthoracic impedance measurement (TIM) for rate-adaptive sensing.

Cited by 5 publications

References 0 publications

High impedance alert with safety switching: An unreported hazard of hybrid pacing systems

High impedance alert with safety switching: An unreported hazard of hybrid pacing systems

A Systematic Review and Meta-analysis of the Prevalence and Risk Factors in Cardiac Implantable Electronic Device Malfunction

Respiratory rate trending as a cause for atrial lead noise: A first report in an implantable cardioverter-defibrillator patient

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