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Angiology
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Life-Threatening Pacemaker Dysfunction Associated With Therapeutic Radiation: A Case Report

Andreas Zweng, MD

1st Medical Department, SMZO-Danube Hospital, Vienna, Austria, andreas.zweng{at}wienkav.at

Reinhard Schuster, MD

1st Medical Department, SMZO-Danube Hospital, Vienna, Austria

Robert Hawlicek, MD

the Department of Radiooncology, SMZO-Danube Hospital, Vienna, Austria

Heinz Stefan Weber, MD, FESC, FACC

1st Medical Department, SMZO-Danube Hospital, Vienna, Austria

Reports about pacemaker (PM) dysfunction during irradiation (IR) are very rare, which is because of the extensive protective mechanisms that exist in these devices against electromagnetic interference (EMI). We report a case in which one of the most clinically relevant type of PM malfunctions, a runaway PM, occurred during radiation in a 76-year-old woman who was treated for inoperable esophageal cancer with a course of photon IR. The estimated IR dose of 0.11 Gy was the lowest in vivo dose ever reported. So a direct radiation effect as cause for this malfunction appears to be improbable. It could be concluded that the PM dysfunction was most likely induced by EMI during radiotherapy. The real reason of the device’s software failure remains unclear.

Key Words: pacemaker malfunction • therapeutic radiation • pacemaker-induced tachycardia

This version was published on August 1, 2009

Angiology, Vol. 60, No. 4, 509-512 (2009)
DOI: 10.1177/0003319708315305


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