Abstract
To the Editor.— The rapid decelerative experience suffered by automobile accident victims, who wear cardiac pacemakers, can produce dislodgement or malfunction of such a device. Additionally, prior cardiac disease makes the heart more susceptible to injury from impact forces. A device is safe, when its use is safer for the patient than the prognosis of his disease, and is the best available.1 Report of a Case.— The electrocardiogram of a 72-year-old man showed a 2 to 1 AV block, and the disorder was identified as hypertensive arteriosclerotic heart disease with Adams-Stokes syndrome. With the patient under local anesthesia, a transvenous cardiac pacemaker was inserted via the right internal jugular vein (Fig 1). Subsequent cardiac pacing of 1:1 aborted the vertigo and fainting. Several months thereafter, the patient was a passenger seated in the rear on the right side of an automobile which was involved in a high-speed accident. He
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