Rapid ventricular pacing due to electrocautery: A case report and review

Shurea Wilson, Steven N. Neustein, Jorge Camunas

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

It is well known that the use of electrocautery during surgery can interfere with the functioning of pacemakers. The most common problem is that the eloctrocautery is interpreted by the pacemaker as cardiac electrical activity, which inhibits the pacemaker from firing, leading to bradycardia. The use of electrocautery in a site remote from the pacemaker generator normally does not cause interference. It is also very unusual to develop a tachycardic response to the electrocautery. We report a case of electrocautery causing rapid pacing during transurethral resection of bladder polyps. The possible causes of inappropriate rapid pacing are reviewed.

Original languageEnglish
Pages (from-to)880-883
Number of pages4
JournalMount Sinai Journal of Medicine
Volume73
Issue number6
StatePublished - Oct 2006

Keywords

  • Electrocautery
  • Electromagnetic interference
  • Pacemakers
  • Tachycardia

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