Overcoming Artifacts and Fears: Electrophysiology Study and Radiofrequency Ablation in a Parkinsonian Patient with Supraventricular Tachycardia and a Brain Neurostimulator

Authors

  • LOGAN KANAGARATNAM,

    Corresponding author
    1. North Shore Heart Research Group, Kolling Institute, University of Sydney, Australia
    • From the Department of Cardiology, Royal North Shore Hospital, Sydney, Australia
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  • ADAM LEE,

    1. From the Department of Cardiology, Royal North Shore Hospital, Sydney, Australia
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  • DAVID WHALLEY,

    1. From the Department of Cardiology, Royal North Shore Hospital, Sydney, Australia
    2. North Shore Heart Research Group, Kolling Institute, University of Sydney, Australia
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  • GEMMA A. FIGTREE

    1. From the Department of Cardiology, Royal North Shore Hospital, Sydney, Australia
    2. North Shore Heart Research Group, Kolling Institute, University of Sydney, Australia
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Address for reprints: Logan Kanagaratnam, M.B.B.S., Department of Cardiology, Royal North Shore Hospital, Sydney, NSW 2065, Australia. Fax: 61299067807; e-mail: lkanagar@nsccahs.health.nsw.gov.au

Abstract

With the ageing of the population and expanding use of deep brain stimulation in the treatment of various neurological and neuropsychiatric conditions, there will be an increasing number of patients with these devices who present with cardiac conditions necessitating electrophysiology studies (EPS). However, neurostimulator devices have been shown to cause significant artifacts on electrocardiography recordings. We present the case of a 53-year-old Parkinsonian woman with a brain neurostimulator device who underwent a successful EPS with radiofrequency ablation.

(PACE 2013; 36:e1–e3)

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