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Basic Pacing Concepts Part III - page 34 / 49

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Lithotripsy Shock Waves May Have an Effect on Pacemaker Systems

Outcomes in dual-chamber modes:

Inhibition of ventricular pacing

Outcomes in rate adaptive pacemakers

High pacing rates

Piezoelectric crystal damage

Precautions:

Program pacemaker to VVI or VOO mode

Lithotriptor focal point should be greater than 6 inches from the pacemaker

Carefully monitor heart function throughout procedure

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