Neuromuscular electric stimulation in heart transplantation candidates with cardiac pacemakers.
case_series · Level IV
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- Record sourced from PubMed, PMID 11588756.
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Abstract
Twenty percent of heart transplantation candidates have cardiac pacemakers. Application of neuromuscular electric stimulation (NMES) in patients with pacemakers is controversial because of potential electromagnetic field interference and subsequent failure of the pacemaker. We present a safety protocol as a procedure before applying NMES in pacemaker patients. In 4 patients with chronic heart failure, NMES was applied under supervised conditions for 20 minutes to evaluate the individual risk. No changes in the clinical state and no complications secondary to electromagnetic field interference were observed. A check of pacemaker function after this 20-minute stimulation revealed no changes in the pacemaker parameters. After a thorough safety protocol, NMES of knee extensor muscles in patients with pacemakers appears to be safe.
Medical subject headings
- Electric Stimulation
- Heart Failure
- Heart Transplantation
- Pacemaker, Artificial
- Preoperative Care