Iyer Vivek, Nazif Tamim M, Vazquez Jesus, Reiffel James A
Department of Medicine, Division of Cardiology, Columbia University Medical Center, New York, New York, USA.
Pacing Clin Electrophysiol. 2012 Jul;35(7):e203-5. doi: 10.1111/j.1540-8159.2011.03087.x. Epub 2011 Mar 31.
We present a case of pacemaker artifact on 12-lead electrocardiogram that was initially interpreted as malfunction of the patient's dual-chamber cardiac pacemaker. It was ultimately determined to arise from an extracardiac gastric pacemaker, which had been inserted for refractory, severe diabetic gastroparesis. Proper functioning of both devices was confirmed, and settings were adjusted to test for interdevice interference. This is a report of a patient with both cardiac pacemaker and a gastric pacemaker. We review the literature on patients with multiple pacemaker devices, and conclude with several practical considerations for their care.
我们报告一例12导联心电图上出现起搏器伪迹的病例，该伪迹最初被解释为患者双腔心脏起搏器功能异常。最终确定其源于心脏外的胃起搏器，该胃起搏器是为治疗难治性严重糖尿病胃轻瘫而植入的。确认了两种装置的正常功能，并调整了设置以测试装置间干扰。本文报道了一名同时拥有心脏起搏器和胃起搏器的患者。我们回顾了有关多起搏器装置患者的文献，并得出了对其护理的几点实际考虑。
