Myopotential Inhibition of Unipolar Pacemakers: A Disease of Technologic Progress
Authors: PAUL A. LEVINE
Journal: Annals of Internal Medicine (1983)

Editorials1 January 1983Myopotential Inhibition of Unipolar Pacemakers: A Disease of Technologic ProgressPAUL A. LEVINE, M.D., MICHAEL D. KLEIN, M.D.PAUL A. LEVINE, M.D.Search for more papers by this author, MICHAEL D. KLEIN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-98-1-101 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptCardiac pacing is being used with increasing frequency as diagnostic techniques identify problems amenable to pacing and as technologic advances reduce the size of the pulse generators and increase their projected life and versatility. These same technologic advances may introduce new problems that, unless anticipated, may lead to a costly, uncomfortable, and unnecessary medical evaluation. One of these problems is myopotential inhibition of the unipolar pacemaker.The major indication for cardiac pacing remains the management of patients with symptomatic bradyarrhythmias. If episodic lightheadedness and even syncope continue to occur after implantation of the pacemaker, it can be extremely disconcerting to...References1. BERGERJACOBS RW. Myopotential inhibition of demand pacemakers: etiologic, diagnostic and therapeutic considerations. PACE. 1979;2:596-602. CrossrefGoogle Scholar2. BRETVIKOHM KO. Myopotential inhibition of unipolar QRS-inhibited (VVI) pacemakers assessed by ambulatory Holter-monitoring of the electrocardiogram. PACE. 1980;3:470-8. CrossrefGoogle Scholar3. SECEMSKYHAUSERDENESEDWARDS SRPL. Unipolar sensing abnormalities: incidences and clinical significance of skeletal muscle interference and undersensing in 228 patients. PACE. 1982;5:10-9. CrossrefGoogle Scholar4. MYMINCUDDYSINHAWINTER DTSD. Inhibition of demand pacemakers by skeletal muscle potential. JAMA. 1973;273:527-9. CrossrefGoogle Scholar5. OHMBRULANDPEDERSENWAERNESS AHOE. Interference effect of myopotential on function of unipolar demand pacemakers. Br Heart J. 1974;36:77-84. CrossrefMedlineGoogle Scholar6. SMYTHALTERNESSSHEARANWALMSLEYKESHISHIANBAXERJOHNSEN NCLFJNA. Narrow pulse width generators. Med Inst. 1974;8:326-32. MedlineGoogle Scholar7. TYERSBROWNLEE GR. Power pulse generators, electrodes and longevity. Prog Cardiovasc Dis. 1981;23:421-34. CrossrefMedlineGoogle Scholar8. BILITCHCOSBYCAFFERKY MRE. Ventricular fibrillation and competitive pacing. N Engl J Med. 1967;276:598-604. CrossrefMedlineGoogle Scholar9. SCHARDACKISHIKAWAFOCHLERSOUTHERGAGE WHFSA. Pacing and ventricular fibrillation. Ann NY Acad Sci. 1969;167:919-33. CrossrefMedlineGoogle Scholar10. OHMMORKRIDHAMMER OLE. Amplitude frequency characteristics of myopotentials and endocardial potentials as seen by a pacemaker system. Scand J Thor Cardiovasc Surg Suppl. 1978;22:41-6. Google Scholar11. IRNICKDEBAKKER WJ. Filter characteristics of pacemaker amplifiers. Med Biol Engineering. 1975;13:889-93. CrossrefMedlineGoogle Scholar12. GOLDMANPARSONNET BV. World survey on cardiac pacing. PACE. 1979;2:W1-17. CrossrefGoogle Scholar13. LEVINECAPLANKLEINBRODSKYRYAN PCMST. Myopotential inhibition of unipolar lithium pacemakers. Chest. 1982;82:461-5. CrossrefMedlineGoogle Scholar14. BRIEVIKOHM KO. Myopotential inhibition of unipolar QRS-inhibited (VVI) pacemakers assessed by ambulators Holter monitoring of the electrocardiogram. PACE. 1980;3:470-8. CrossrefGoogle Scholar15. HAUSER R. Bipolar leads for cardiac pacing in the 1980's: a reappraisal provoked by skeletal muscle interference. PACE. 1982;5:34-7. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Evans Memorial Department of Clinical Research and Department of Medicine University Hospital Boston, Massachusetts PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byComparison of Unipolar and Bipolar Active Fixation Atrial Pacing LeadsComparison of Myopotential Interference in Unipolar-Bipolar Programmable DDD PacemakersCare of the Pacemaker Patient Undergoing General SurgeryOversensing by Single-Chamber Pacemakers: Mechanisms, Diagnosis, and TreatmentOSTEOPOROTIC FRACTURES EXACT A TOLLInhibition of demand pacemakers by myopotentialsLong-term assessment of unipolar and bipolar stimulation and sensing thresholds using a lead configuration programmable pacemakerCardiac Pacing in Intensive CareMyopotential Inhibition of Unipolar Pacing in ChildrenThe Clinical Incidence and Significance of Myopotential Sensing with Unipolar PacemakersMyopotential interference with DDD pacemakers: Endocardial electrographic telemetry in the diagnosis of pacemaker-related arrhythmiasRectus Abdominis as a Source of Myopotentials Inhibiting Demand Pacemakers 1 January 1983Volume 98, Issue 1Page: 101-103KeywordsBradycardiaCardiac pacingDiagnostic techniquesHeart ratePacemakersSyncope Issue Published: 1 January 1983 PDF downloadLoading ...