title: Absence of device-device interaction (DDI) in a patient with cardiac and diaphragmatic pacemakers for congenital central hypoventilation syndrome.
abstract: Autonomic control of ventilation is impaired in patients with Ondine's curse or congenital central hypoventilation syndrome (CCHS), but voluntary control remains intact. Bradyarrhythmias can be life threatening. In a patient with CCHS and long sinus pause requiring cardiac pacemaker insertion, a diaphragmatic pacemaker inserted in early childhood caused diaphragmatic pacer spikes observed during the interrogation of the cardiac pacemaker. Diaphragmatic pacing did not interfere with the cardiac pacemaker function.
authors.affiliation: Department of Medicine, Division of Cardiology, University of Carlifornia, Irvine, USA. mmovahed@uci.edu
authors.forename: Mohammad-Reza
authors.initials: MR
authors.lastname: Movahed
authors.forename: Mehrdad
authors.initials: M
authors.lastname: Jalili
authors.forename: Nafiz
authors.initials: N
authors.lastname: Kiciman
mesh_terms: D000328:Adult; D001919:Bradycardia / Q000209:etiology* / Q000517:prevention & control*; D002304:Cardiac Pacing, Artificial / Q000379:methods*; D003964:Diaphragm / Q000294:innervation / Q000503:physiopathology; D004599:Electric Stimulation Therapy / Q000009:adverse effects* / Q000379:methods*; D004868:Equipment Failure; D006801:Humans; D008297:Male; D020182:Sleep Apnea, Central / Q000628:therapy*