Sunday, August 4, 2019

What are all these little spikes?

An elderly woman fell and had an ECG recorded:

What are all these spikes?
They can't be anything but artifact, but from what??




















These are typical spikes for nerve stimulators.  In this case, the woman did not remember that she has a bladder stimulator for neurogenic bladder, but deep chart review found that this is the case.


ECG artifact of bladder stimulators has been reported in the Journal of Electrocardiology:

https://search.proquest.com/openview/aafa4a4cf87e7229eddc54d300209a9f/1?pq-origsite=gscholar&cbl=6950

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