title: Implantation of a defibrillator in a patient with an upper airway stimulation device.
abstract: The patient is a 62-year-old man with continuous positive airway pressure-intolerant obstructive sleep apnea who was enrolled in a study for a hypoglossal nerve upper airway stimulation device (UAS). Nearly 2.5 years later, he was admitted to the hospital for unstable angina. Diagnostic workup revealed a prior myocardial infarction, an ejection fraction of 30% on maximal medical therapy, and episodes of nonsustained ventricular tachycardia. During hospitalization, the patient received an implantable cardioverter defibrillator (ICD). This is the first reported case of simultaneous use of a UAS and an ICD, and we report no untoward device interference between the two implantable devices.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, U.S.A.
authors.forename: Adrian A
authors.initials: AA
authors.lastname: Ong
authors.affiliation: Division of Cardiology, Department of Medicine, Medical University of South Carolina, Charleston, South Carolina, U.S.A.
authors.forename: Terrence X
authors.initials: TX
authors.lastname: O'Brien
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, U.S.A.
authors.forename: Shaun A
authors.initials: SA
authors.lastname: Nguyen
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, U.S.A.
authors.forename: M Boyd
authors.initials: MB
authors.lastname: Gillespie
mesh_terms: D045422:Continuous Positive Airway Pressure; D017147:Defibrillators, Implantable; D004599:Electric Stimulation Therapy / Q000295:instrumentation*; D004562:Electrocardiography; D006801:Humans; D007002:Hypoglossal Nerve / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D017286:Polysomnography; D020181:Sleep Apnea, Obstructive / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D017180:Tachycardia, Ventricular / Q000150:complications / Q000503:physiopathology / Q000628:therapy*
keywords: ICD; defibrillator; implantable neurostimulator; obstructive sleep apnea; sleep-disordered breathing; upper airway stimulation