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3.The signal might be interpreted by the device as a programming signal, leading to inappropriate reprogramming. 4. A continuous train of electrical impulses (electrocautery), conducted down the lead can induce ventricular or atrial fibrillation. 5.High levels of current can pass through the device, down the lead, and into the endocardium, causing thermal burns at the leadâtissue interface. This can raise the pacing threshold.