Phantom Pacemaker Programming*

Autor: Arnold Fieldman, Robert J. Dobrow
Rok vydání: 1978
Předmět:
Zdroj: Pacing and Clinical Electrophysiology. 1:166-171
ISSN: 1540-8159
0147-8389
DOI: 10.1111/j.1540-8159.1978.tb03460.x
Popis: Spurious or “phuntom” programming of programmable pacemakers may occur as the result of two phenomena. One is change in rate and/or output of the generator from an anomalous source (dysprogramming); the other is a generator response different from that intended and set on the conventional programmer (misprogramming). In either case, the result is a nuisance, at best. Conceivably, at worst, an irreversible subthreshold output could be induced. Despite wide usage of such devices, neither event has been reported, in the routine folow-up of 95 implanted Cordis Omni-Stanicor®† generators, we have observed three instances of dysprogramming upon application of a magnet commonly used to induce the asynchronous mode. Subsequent in vitro studies revealed magnetically induced programming reed switch vibration in 9 of 6,680 units, which could account for the in vivo observations. We also describe many instances of misprogramming, attributable, in most cases, to a faulty programmer emission count. In this series, none of the anomalies was clinically detrimental. However, anyone involved in pacemaker follow-up should be alerted to the existence of these potentially hazardous phenomena.
Databáze: OpenAIRE