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Might a Pacemaker Be at the Heart of Hiccup Problem?
Is there any relationship between hiccups and an implanted cardiac pacemaker? Could hiccups possibly trigger a change in the pacemaker?
Is there any relationship between hiccups and an implanted cardiac pacemaker? Could hiccups possibly trigger a change in the pacemaker?
---- Sharon Weeaks, CNP
Denver
Yes, there is a relationship between pacemaker placement and hiccups. Rarely, placement of an atrial lead or a lead in the left ventricular epicardial vein may result in stimulation of the phrenic nerve, with resultant hiccups during atrial pacing or during pacing of the left ventricular lead. Hiccups in these settings can often be eliminated by pacing at the lowest possible voltage that captures the myocardium. However, sometimes any stimulation will cause phrenic nerve-associated hiccups, and the lead may need to be removed or repositioned or pacing from that site terminated.
I know of no cases in which hiccups affected a pacing system.
---- Kenneth A. Ellenbogen, MD
Kontos Professor of Medicine
Medical College of Virginia
Richmond
Semaglutide Cuts Cardiovascular Risk by 20% in Adults with Obesity, CVD and Without Diabetes
November 13th 2023AHA 2023: Semaglutide 2.4 mg reduced the risk of serious cardiovascular events by 20% in patients with obesity and overweight with established CVD but without diabetes, according to full SELECT trialresults.
