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Correspondence
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Volume 350:1688-1690 April 15, 2004 Number 16
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Hazards of an Alternative Medicine Device in a Patient with a Pacemaker

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To the Editor: Both patients and health care professionals should be aware of potential pacemaker interactions in the environment, since cardiac pacemakers and defibrillators are sensitive to many kinds of electromagnetic interference.

A 52-year-old man with a dual-chamber pacemaker, implanted because of intermittent, symptomatic, high-degree atrioventricular block, presented with short episodes of dizziness and near-fainting. A detailed history revealed that the symptoms occurred exclusively during self-prescribed therapy with a Zapper device. The Zapper, which is available worldwide, is a simple, battery-powered, direct-current–offset pulse generator with square-wave output at a constant frequency of 33.3 kHz ±10 percent. These electronic pulse frequencies . . . [Full Text of this Article]


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