Evidence map›Paper›PMID 31025164›Full record

ArticleWiener klinische Wochenschrift2019

Influence of electrical stimulation therapy on permanent pacemaker function.

Florian Egger, Christian Hofer, Fabian P Hammerle, Stefan Löfler, Michael Nürnberg, Lukas Fiedler, Ruxandra Kriz, Helmut Kern, Kurt Huber

Abstract read
PubMed Publisher
In one paragraph

Article in Wiener klinische Wochenschrift, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. EHRA consensus on prevention and management of interference due to medical procedures in patients with cardiac implantable electronic devices.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2022
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Florian Egger3rd Medical Department with Cardiology, Chest Pain Unit and Intensive Care Medicine, Wilhelminenspital, Montleartstraße 37, 1160, Vienna, Austria. dr_egger@icloud.com.ORCID http://orcid.org/0000-0002-4336-5785
Christian HoferLudwig Boltzmann Institute of Electrical Stimulation and Physical Rehabilitation, Wilhelminenspital, Montleartstraße 37, 1160, Vienna, Austria.
Fabian P Hammerle3rd Medical Department with Cardiology, Chest Pain Unit and Intensive Care Medicine, Wilhelminenspital, Montleartstraße 37, 1160, Vienna, Austria.
Stefan LöflerLudwig Boltzmann Institute of Electrical Stimulation and Physical Rehabilitation, Wilhelminenspital, Montleartstraße 37, 1160, Vienna, Austria.
Michael Nürnberg3rd Medical Department with Cardiology, Chest Pain Unit and Intensive Care Medicine, Wilhelminenspital, Montleartstraße 37, 1160, Vienna, Austria.
Lukas Fiedler2nd Department of Internal Medicine, Hospital Wiener Neustadt, Corvinusring 3-5, 2700, Wiener Neustadt, Austria.
Ruxandra Kriz3rd Medical Department with Cardiology, Chest Pain Unit and Intensive Care Medicine, Wilhelminenspital, Montleartstraße 37, 1160, Vienna, Austria.
Helmut KernLudwig Boltzmann Institute of Electrical Stimulation and Physical Rehabilitation, Wilhelminenspital, Montleartstraße 37, 1160, Vienna, Austria.
Kurt Huber3rd Medical Department with Cardiology, Chest Pain Unit and Intensive Care Medicine, Wilhelminenspital, Montleartstraße 37, 1160, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElectrical stimulation therapy (EST) and transcutaneous electrical neuromuscular stimulation (TENS), a modality of EST, have become widely applied, accepted and effective methods for the treatment of musculoskeletal and other pain conditions. According to the rising number of permanent pacemaker (PM) wearers the number of potential candidates for EST with concomitant device implantation is growing. Contradictory recommendations exist regarding the application of EST or TENS on PM wearers.

aimThe study was carried out to evaluate the impact of EST on PM function.

methodsA full size model mimicking the electrical characteristics of the human body was used to evaluate the application of EST on permanent PM devices. Various configurations with respect to energy modality, position of the stimulation electrodes and PM device models were evaluated. Intracardiac PM electrogram tracings (iEGM) were analyzed for the interference of EST with PM function.

resultsUnilateral EST application did not cause interference with PM function in any of the configurations (0%; n = 700). On the contrary, bilateral stimulation (350 configurations in total) caused either ventricular inhibition or switch to V00 back-up pacing due to electrical interference in 165 cases (47.1%) depending on the applied stimulation parameters.

conclusionThe use of EST potentially interferes with PM therapy, especially if the electrodes are positioned bilaterally; however, unilateral EST application appeared to be safe in all tested configurations.

Indexed as

Electric Stimulation TherapyPacemaker, ArtificialTranscutaneous Electric Nerve StimulationHumansChronic painDevice interactionEx-vivoFull-size modelTranscutaneous electrical neuromuscular stimulation

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.