title: Implantation of a permanent pacemaker in a patient with severe Parkinson's disease and a preexisting bilateral deep brain stimulator.
abstract: Cardiac pacemakers and implantable defibrillators are commonly used therapeutic modalities in cardiac arrhythmias. Thalamic deep brain stimulation has also become an important modality in the treatment of drug-refractory tremors and other complications in advanced Parkinson's disease. Concerns exist about the potential electrical interaction and interference between these 2 devices in the same patient. There are only a limited number of reports that have investigated this issue. We describe a patient with advanced Parkinson's disease and a previously implanted deep brain stimulator, who subsequently needed a permanent cardiac pacemaker due to severe bradyarrhythmia. Despite the probability of interference between the devices, there were no problems during implantation of the cardiac pacemaker; both the deep brain stimulator and cardiac pacemaker functioned appropriately afterwards.
authors.affiliation: Department of Cardiology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
authors.forename: Beste
authors.initials: B
authors.lastname: Ozben
authors.forename: Ahmet Kaya
authors.initials: AK
authors.lastname: Bilge
authors.forename: Ercument
authors.initials: E
authors.lastname: Yilmaz
authors.forename: Kamil
authors.initials: K
authors.lastname: Adalet
mesh_terms: D000328:Adult; D002304:Cardiac Pacing, Artificial; D006332:Cardiomegaly / Q000628:therapy; D046690:Deep Brain Stimulation / Q000295:instrumentation*; D004562:Electrocardiography; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D010300:Parkinson Disease / Q000150:complications* / Q000628:therapy*