Pacemaker and Defibrillator Implantation and Programming in Patients with Deep Brain Stimulation

Author:

Elliott Mark1,Momin Sheikh1,Fiddes Barnaby2,Farooqi Fahad1,Sohaib SM Afzal1

Affiliation:

1. Department of Cardiology, King George Hospital, Ilford, UK

2. Barking, Havering and Redbridge University Hospitals NHS Trust, Romford, UK

Abstract

The need for cardiac device implantation in patients receiving deep brain stimulation (DBS) is increasing. Despite the theoretical risk of the two systems interacting, there are no clear guidelines for cardiologists carrying out cardiac device implantation in this population. We performed a review of the literature and describe 13 case reports in which patients have both DBS and a cardiac pacemaker or ICD implanted. Except for one early study, in which an ICD shock reset the deep brain stimulator, no significant interactions have been reported. We discuss the potential interactions between DBS and cardiac devices, and provide practical advice for implanting cardiologists. We conclude that, provided that specific precautions are taken, cardiac device implantation is likely to be safe in patients with DBS.

Publisher

Radcliffe Group Ltd

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

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