title: Management of cardiac pacemaker in a patient with spinal cord stimulator implant.
abstract: Spinal cord stimulation reduces pain of critical ischaemia in patients with severe inoperable coronary artery and peripheral vascular disease by increasing microvascular flow. Patients with cardiac pacemaker may be denied a spinal cord stimulator (SCS) implant because of the risk of compromising pacemaker function by inhibition or reversion to asynchronous noise-pacing mode. We describe the management of a patient with an SCS implant for lower limb ischaemia who required a pacemaker. We suggest that with modern pacemakers it is safe to implant a spinal cord stimulator simultaneously with a pacemaker provided adequate precautions are taken to prevent interdevice interference.
authors.affiliation: Dudley Group of Hospitals NHS Trust, Russells Hall Hospital, West Midlands, UK.
authors.forename: R
authors.initials: R
authors.lastname: Iyer
authors.forename: T V
authors.initials: TV
authors.lastname: Gnanadurai
authors.forename: P
authors.initials: P
authors.lastname: Forsey
mesh_terms: D000368:Aged; D000787:Angina Pectoris / Q000628:therapy; D004599:Electric Stimulation Therapy; D006321:Heart; D006801:Humans; D008297:Male; D017202:Myocardial Ischemia / Q000628:therapy; D010138:Pacemaker, Artificial; D059408:Pain Management; D016491:Peripheral Vascular Diseases / Q000628:therapy; D013116:Spinal Cord