ECG Artifact by a Spinal Cord Neurostimulator: A Case Report

  • Shyla Gupta Queen's University
  • Cathy Shaw Kingston Health Sciences Centre
  • Sohaib Haseeb Kingston Health Sciences Centre
  • Adrian Baranchuk Kingston Health Sciences Centre
Keywords: Neurostimulator devices, ECG artifact, Atrial fibrillation

Abstract

Background: Neurostimulator devices produce electrical oscillations that may prevent accurate diagnosis of an ECG.

The Case: We present the case of a 68-year-old man who came to the emergency department with chest pain and a spinal cord neuromodulator device in situ to treat his polymyalgia rheumatica. A 12-lead ECG was obtained to determine the cause of the chest pain, and atrial fibrillation was wrongly diagnosed.

Conclusion: This case reiterates the value of recognizing this uncommonly encountered ECG artifact to avoid unnecessary mistakes in interpretation of heart rhythms.

Author Biographies

Shyla Gupta, Queen's University

Undergraduate Student

Cathy Shaw, Kingston Health Sciences Centre

Registered cardiology tech; RCT.

Sohaib Haseeb, Kingston Health Sciences Centre

BSc, Medical student

Adrian Baranchuk, Kingston Health Sciences Centre

MD, FACC, FRCPC, FCCS

References

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Diez JC, Shaw C, Baranchuk A. Electrocardiogram interference by a neurostimulator. J Electrocardiol 2010;43:301.

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Rosen AV, Koppikar S, Shaw C, Baranchuk A. Common ECG Lead Placement Errors. Part II: Precordial Misplacements. Int J Med Students. 2014 Jul-Oct;2(3):99-103.

Diez JC, Shaw C, Baranchuk A. Electrocardiogram interference by a neurostimulator. J Electrocardiol. 2010;43(4):301.

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Baranchuk A, Kang J, Shaw C, Witjes R. Electromagnetic interference produced by a hearing aid device on ECG recording. J Electrocardiol 2008;41(5):398-400.

Published
2020-08-18
How to Cite
Gupta, S., Shaw, C., Haseeb, S., & Baranchuk, A. (2020). ECG Artifact by a Spinal Cord Neurostimulator: A Case Report. International Journal of Medical Students, 8(2), 145-147. https://doi.org/10.5195/ijms.2020.614
Section
Case Report