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Correspondence
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Volume 357:2638-2639 December 20, 2007 Number 25
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A Lifetime Pacemaker Revisited

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To the Editor: The longevity of pulse-generator batteries for cardiac pacemakers is still of some interest. On April 10, 1973, my colleagues and I implanted a plutonium-238 radioisotope pacemaker in a 20-year-old woman who had complete atrioventricular block after repair of a ventricular septal defect 6 years earlier. The nuclear pacemaker (Numec NU-5), one of the first of such devices implanted in the United States, was attached to a unipolar, "thumb tack" electrode of our own design. When the lead fractured 11 years later, it was repaired by splicing it to a new connector, retaining the same pacemaker. The stimulation . . . [Full Text of this Article]




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