Movahed Mohammad-Reza, Jalili Mehrdad, Kiciman Nafiz
Department of Medicine, Division of Cardiology, University of Carlifornia, Irvine, USA.
Pacing Clin Electrophysiol. 2005 Nov;28(11):1238-9. doi: 10.1111/j.1540-8159.2005.50193.x.
Autonomic control of ventilation is impaired in patients with Ondine's curse or congenital central hypoventilation syndrome (CCHS), but voluntary control remains intact. Bradyarrhythmias can be life threatening. In a patient with CCHS and long sinus pause requiring cardiac pacemaker insertion, a diaphragmatic pacemaker inserted in early childhood caused diaphragmatic pacer spikes observed during the interrogation of the cardiac pacemaker. Diaphragmatic pacing did not interfere with the cardiac pacemaker function.