Electromagnetic Interference in Implantable Defibrillators in Single-Engine Fixed-Wing Aircraft

Rotte, Alexandra A. J. de; Kemp, Peter van der; Mundy, Peter A; Rienks, Rienk; Rotte, A. A. De

doi:10.3357/amhp.4623.2017

Cited by 6 publications

(8 citation statements)

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“…From a smaller trial conducted in the early 2000s, pacemakers (each embedded within an artificial thorax) were exposed to the cockpit environs of a single engine fixed wing aircraft to assess for electromagnetic interference (EMI) by the avionics system on device function, with all found to be working normally during and after the test flight. 69 A follow-up study looking at implantable cardioverter defibrillators function under comparable circumstances was conducted by the same group in 2017, with similar findings. 70 Nine mountaineers who scaled Mount Everest base camp (up to 5600 m) were implanted with subpectoral loop recorders as part of a study to assess altitude related arrhythmias, with all the loop recorders explanted in working condition.…”

Section: Physiological and Environmental Stressorsmentioning

confidence: 78%

Commercial Air Travel for Passengers With Cardiovascular Disease: Stressors of Flight and Aeromedical Impact

Koh

2021

Current Problems in Cardiology

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The exponential growth of commercial flights has resulted in a sharp rise of air travellers over the last 2 decades, including passengers with a wide range of cardiovascular conditions. Notwithstanding the ongoing COVID-19 pandemic that had set back the aviation industry for the next 1 to 2 years, air travel is expected to rebound fully by 2023-2024. Guidelines and evidence-based recommendations for safe air travel in this group vary, and physicians often encounter situations where opinions and assessments on fitness for flights are sought. This article aims to provide an overview of the stressors of commercial passenger flights with an impact on cardiovascular health for the general cardiologist and family practitioner, when assessing the suitability of such patients for flying fitness.

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Section: Physiological and Environmental Stressorsmentioning

confidence: 78%

Commercial Air Travel for Passengers With Cardiovascular Disease: Stressors of Flight and Aeromedical Impact

Koh

2021

Current Problems in Cardiology

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“…of a cardiac stimulation system. Individuals with implemented pacemakers are considered unfi t for fl ying due to the possibility of pacemaker failure and due to the infl uence of strong electromagnetic fi eld present in airplanes, which may disturb the pacemaker operation [8]. In the case of persons not dependent on stimulators, there is a possibility to return to fl ying.…”

Section: Diagnosis Of Cas In Pilotsmentioning

confidence: 99%

Disorders of the Electrical Conduction System of the Heart - A Significant Problem in Aviation Medicine

Kurek¹,

Zawadzka-Bartczak²,

Barwińska³

et al. 2019

PJAMBP

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Own sources Source of support:Disorders of the electrical conduction system of the heart are a relatively common electrocardiographic abnormality found during aviation medical examinations and one of the reasons for the loss of pilot licenses/licenses to fl y. At the same time, the type of arrhythmia and/or cardiac conduction disorders alone usually does not provide a suffi cient basis for the performance/continuation of certain professional duties. This paper discusses the pathogenesis of disorders of the electrical conduction system of the heart, types of arrhythmias, their classifi cation, therapeutic and aviation medical certifi cation procedure in some of them, and the possible prognosis in potentially harmless arrhythmias and/or conduction disorders registered in standard ECG, which require more detailed diagnostics in the fl ying staff population. It may turn out that they constitute certain restrictions or even contraindications to fl ying supraventricular arrhythmias, ventricular arrhythmias, atrioventricular blocks, intraventricular blocks, fl ying staff

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“…A return to aircrew duties may be possible if individuals are not pacemaker dependent, have bipolar lead systems, and have regular pacemaker follow-up. 26 The possibility of pacemaker failure and the risk of electromagnetic interference, even if considered low in modern pacemaker systems, 27 are also important factors, and aircrew are usually restricted to low performance aircraft that do not routinely employ equipment that use high electro-magnetic frequencies (EMF). EMF sources are common in many military aircraft and other radar systems and should always be considered by occupational physicians before return to military and aircrew duties.…”

Section: Rhythm and Conduction Disturbancesmentioning

confidence: 99%

Management of cardiac conduction abnormalities and arrhythmia in aircrew

Guettler¹,

Bron

Manen

et al. 2018

Heart

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Cardiovascular diseases i are the most common cause of loss of flying licence globally, and cardiac arrhythmia is the main disqualifier in a substantial proportion of aircrew. Aircrew ii often operate within a demanding physiological environment, that potentially includes exposure to sustained acceleration (usually resulting in a positive gravitational force, from head to feet (+Gz)) in high performance aircraft. Aeromedical assessment is complicated further when trying to discriminate between benign and potentially significant rhythm abnormalities in aircrew, many of whom are young and fit, have a resultant high vagal tone, and among whom underlying cardiac disease has a low prevalence. In cases where a significant underlying aetiology is plausible, extensive investigation is often required and where appropriate should include review by an electrophysiologist. The decision regarding restriction of flying activity will be dependent on several factors including the underlying arrhythmia, associated pathology, risk of incapacitation and/or distraction, the type of aircraft operated, and the specific flight or mission criticality of the role performed by the individual aircrew.

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Electromagnetic Interference in Implantable Defibrillators in Single-Engine Fixed-Wing Aircraft

Cited by 6 publications

References 0 publications

Commercial Air Travel for Passengers With Cardiovascular Disease: Stressors of Flight and Aeromedical Impact

Commercial Air Travel for Passengers With Cardiovascular Disease: Stressors of Flight and Aeromedical Impact

Disorders of the Electrical Conduction System of the Heart - A Significant Problem in Aviation Medicine

Management of cardiac conduction abnormalities and arrhythmia in aircrew

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