![]() For patients with IACDs, stimulation should not be performed near the implanted device and the contralateral extremity should be used when possible. ![]() ![]() There are no reported cases of implantable automatic cardioverter-defibrillators (IACDs) being triggered by NCS. Several studies have shown no pacemaker inhibition during NCS, but there has been one reported case of pacemaker failure due to peripheral nerve stimulation. Patients with implanted cardiac pacemakers and cardioverter-defibrillators are not a contraindication to nerve conduction studies (NCS). Central lines are not a contraindication, but the contralateral limb should be used. Electrodiagnostic (EDX) studies should never be performed on patients with external wires like external pacing wires, guidewires, and so on.
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