Myopotential inhibition of unipolar lithium pacemakers.
The effect of isometric upper extremity exercise on pacemaker function was evaluated in 27 patients who remained pacemaker-dependent during testing. Inhibition was demonstrated in eight (31 percent) of which five were symptomatic. Based on design of the sensing amplifier and return to an all-metal housing in the unipolar lithium pulse generators, myopotential inhibition is being recognized as one cause of symptomatic pacemaker inhibition that is more common than generally appreciated. A method of evaluation and management options for symptomatic patients are discussed. Routine testing of all patients should be performed at the time of a regular office evaluation. If one model pulse generator appears to be particularly prone to myopotential inhibition, this knowledge should be considered in the choice of future pacing systems.
D000200:Action Potentials; D000328:Adult; D000368:Aged; D001674:Bioelectric Energy Sources / Q000592:standards; D004867:Equipment Design; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007537:Isometric Contraction; D008094:Lithium; D008297:Male; D008875:Middle Aged; D009132:Muscles / Q000502:physiology*; D010138:Pacemaker, Artificial / Q000592:standards*
D008094:Lithium