iPad2 ^® Use in Patients With Implantable Cardioverter Defibrillators Causes Electromagnetic Interference: The EMIT Study

Abstract

BackgroundOver 140 million iPads® have been sold worldwide. The iPad2®, with magnets embedded in its frame and Smart Cover and 3G cellular data capability, can potentially cause electromagnetic interference in implantable cardioverter defibrillators. This can lead to potentially life‐threatening situations in patients. The goal of this study was to determine whether the iPad2® can cause electromagnetic interference in patients with implantable cardioverter defibrillators.Methods and ResultsTwenty‐seven patients with implantable cardioverter defibrillators were studied. The iPad2® was held at reading distance and placed directly over the device with cellular data capability activated and deactivated. The manufacturers/models of devices and the patients' body mass index were noted. The presence of electromagnetic interference was detected by using a programmer supplied by each manufacturer. Magnet mode with suspension of anti‐tachycardia therapy was triggered in 9 (33%) patients. All occurred when the iPad2® was placed directly over the device. The cellular data status did not cause interference and no noise or oversensing was noted. There was no significant difference between the mean body mass index of the groups with or without interference.ConclusionsThe iPad2® can trigger magnet mode in implantable cardioverter defibrillators when laid directly over the device. This is potentially dangerous if patients should develop life‐threatening arrhythmias at the same time. As new electronic products that use magnets are produced, the potential risk to patients with implantable defibrillators needs to be addressed.

Comparison of perioperative strategies in ICD patients: The perioperative ICD management study (PIM study)

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“…Magnet" with visual feedback is a good option to increase the patient's safety. 21 In some devices, permanent inactivation occurs after magnet application. In these cases, a cardiologist must reactivate the ICD device.…”

Inappropriate activation of pacemaker magnet response mode by CPAP masks

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“…The commonly used iPad 2 wireless tablet device has been demonstrated to trigger magnetic modes in CIEDs when placed directly over the left pectoral region. 34 Moreover, the tendency to use a supine or nearly supine dental patient's chest area for resting of instruments or monitors should be discouraged.…”