Risk of Interference from Transcutaneous Electrical Nerve Stimulation on the Sensing Function of Implantable Defibrillators

Holmgren, Christina; Carlsson, Tobias; Mannheimer, Clas; Edvardsson, Nils

doi:10.1111/j.1540-8159.2007.00962.x

Cited by 38 publications

(23 citation statements)

References 29 publications

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“…In an exploratory study, 30 patients with implanted defibrillators (ICDs) underwent TENS treatment above the mammillae and the anterior superior iliac spine after programming the ICD to monitoring mode. Due to possible consequences of inexact sensing, the authors do not advise the application of TENS in patients with an ICD [37]. Pain management using electrotherapy, e. g., TENS, is substituted by pharmacological treatment and should be avoided in patients with ICDs.…”

Section: Discussionmentioning

confidence: 99%

Neuromuscular electrical stimulation of the thighs in cardiac patients with implantable cardioverter defibrillators

Cenik

Schoberwalter

Kéilani

et al. 2016

Wien Klin Wochenschr

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SummaryBackgroundThe aim of this systematic review was to update scientific knowledge concerning the safety of neuromuscular electrical stimulation (NMES) to increase exercise capacity and prevent cardiac cachexia in patients with implantable cardioverter defibrillators (ICDs).MethodsA systematic review including the electronic databases PubMed, MEDLINE, and SCOPUS was conducted for the time period from 1966 to March 31, 2016.ResultsOnly four articles fulfilled the inclusion criteria (three original articles/safety studies and one case report). The three (safety) studies used NMES to increase muscle strength and/or endurance capacity of the thighs. NMES did not show electromagnetic interference (EMI) with ICD function. EMI was described in a case report of 2 patients with subpectoral ICDs and application of NMES on abdominal muscles.ConclusionThis review indicates that NMES may be applied in cardiac ICD patients if 1) individual risks (e. g., pacing dependency, acute heart failure, unstable angina, ventricular arrhythmic episode in the last 3 months) are excluded by performing a safety check before starting NMES treatment and 2) “passive” exercise using NMES is performed only for thighs and gluteal muscles in 3) compliant ICD patients (especially for home-based NMES) and 4) the treatment is regularly supervised by a physician and the device is examined after the first use of NMES to exclude EMI. Nevertheless, further studies including larger sample sizes are necessary to exclude any risk when NMES is used in this patient group.

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Section: Discussionmentioning

confidence: 99%

Neuromuscular electrical stimulation of the thighs in cardiac patients with implantable cardioverter defibrillators

Cenik

Schoberwalter

Kéilani

et al. 2016

Wien Klin Wochenschr

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“…Although most electronics are safe to use in patients with these devices, in some cases, even small consumer electronic devices such as cellular telephones, 6 digital music players, 7 and radiofrequency identification readers 8 can interfere with sensing or telemetry. Furthermore, electrocautery, transcutaneous electrical nerve stimulators, 9 capsule endoscopy cameras, 10 and left ventricular assist devices 11 can interfere with device function by inhibiting pacing or causing inappropriate shocks.…”

Section: Discussionmentioning

confidence: 99%

Effect of Bioimpedance Body Composition Analysis on Function of Implanted Cardiac Devices

Buch

Bradfield

Larson

et al. 2012

Pacing Clinical Electrophis

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“…In a case study, NMES did not interfere with left ventricular assist device performance [128]. Contrary to NMES, because of the use of much greater frequencies, transcutaneous electrical nerve stimulation is not recommended in patients with an implantable cardiac defibrillator [129].…”

Section: Clinical Recommendation For Nmes Applicationsmentioning

confidence: 98%

The Application of Neuromuscular Electrical Stimulation Training in Various Non‐neurologic Patient Populations: A Narrative Review

Herzig

Maffiuletti

Eser

2015

PM&R

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In the last 2 decades, neuromuscular electrical stimulation has been used increasingly in deconditioned patients with the aim of increasing muscle force. Much basic research has been conducted in the area of increasing a muscle's fatigue resistance by neuromuscular electrical stimulation but similarly thorough research with regard to increasing maximal force is missing. Insufficient clinical and basic knowledge exists on the selection of stimulation parameters that will optimize muscle hypertrophy and gains in muscle force. For volitional training, established stimuli for muscle hypertrophy (which more or less parallels maximal muscle force) are muscle tension, metabolic stress, and muscle damage. The present review summarizes findings from clinical and basic research in terms of muscle mechanical as well as acute and chronic physiologic effects of different stimulation protocols, explains the role of the various stimulation parameters in determining the effect of NMES training protocols, and gives clinical recommendations for the choice of stimulation parameters for different patient populations with different training goals, such as increasing muscle force, mass, endurance, or energy consumption. We limit this review to non-neurologic patients, because training goals of neurologic patients are specific to their functional deficits.

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Risk of Interference from Transcutaneous Electrical Nerve Stimulation on the Sensing Function of Implantable Defibrillators

Abstract: Noise reversion and undersensing might prevent the ICD from delivering shock when it should and the interpretation as VT/VF could result in inappropriate shocks. Because of the potentially serious consequences of interference we do not recommend the use of TENS in patients with ICD.

Cited by 38 publications

References 29 publications

Neuromuscular electrical stimulation of the thighs in cardiac patients with implantable cardioverter defibrillators

Neuromuscular electrical stimulation of the thighs in cardiac patients with implantable cardioverter defibrillators

Effect of Bioimpedance Body Composition Analysis on Function of Implanted Cardiac Devices

The Application of Neuromuscular Electrical Stimulation Training in Various Non‐neurologic Patient Populations: A Narrative Review

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