Implantation of a carotid baroreceptor stimulator in patients with pacemakers and hypertension

Pacing and Clinical Electrophysiology : PACE
Harischandra KarunaratneEric Irwin

Abstract

The Rheos® System (CVRx, Minneapolis, MN, USA) is an implantable device used to lower blood pressure in patients with resistant hypertension by stimulation of the carotid baroreceptors. It is unknown if interaction might exist between Rheos and conventional pacemakers. Compatibility of the Rheos device was tested in four patients with preexisting pacemakers. Intra- and postoperative testing was completed with pacemaker and Rheos settings programmed to provoke interaction. Intracardiac electrograms were printed to determine interaction with the pacemaker. No interaction was observed at maximum atrial and ventricular sensitivity settings and maximum bilateral Rheos output settings. Concomitant device therapy with Rheos device and pacemakers can be achieved without interaction.

References

May 16, 2003·JAMA : the Journal of the American Medical Association·Aram V ChobanianUNKNOWN National High Blood Pressure Education Program Coordinating Committee
Jan 12, 2007·The Journal of Clinical Hypertension·Murray Epstein

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Citations

Aug 9, 2011·International Journal of Hypertension·Vasilios PapademetriouChrysanthos Zamboulis
Feb 15, 2014·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Navid MadershahianThorsten Wahlers
May 23, 2012·Pharmacology & Therapeutics·Dimitris TousoulisChristodoulos Stefanadis
Sep 14, 2015·JACC. Heart Failure·Neal A Chatterjee, Jagmeet P Singh
Aug 2, 2012·Neurologia Medico-chirurgica·Takaomi Taira, Shinichi Goto

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