Life after Pacemaker Implantation: Management of Common Problems and Environmental Interactions

Pm, Shan; Ka, Ellenbogen

doi:10.1097/00045415-200107000-00004

Cited by 17 publications

(6 citation statements)

References 20 publications

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“…However, the magnetic fields of these appliances are at line frequency and have other qualities than induction oven fields. The likelihood of clinically important EMI with household appliances may depend on different factors: (1) the characteristics of the source (frequency, magnetic flux density and electric field strength emitted from the source), (2) the pacing system (including pacing mode, electrode configuration, sensitivity setting, site and orientation of the pulse generator, and filtering), (3) the distance and orientation of the source relative to the pacemaker electrodes or the pulse generator, and (4) the patient's underlying heart rhythm 13 …”

Section: Discussionmentioning

confidence: 99%

Induction Ovens and Electromagnetic Interference:

Rickli

Facchini

Brunner

et al. 2003

Pacing Clinical Electrophis

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Electromagnetic fields may interfere with normal pacemaker function. Despite the introduction of modern pacemakers and bipolar lead systems, electromagnetic interference (EMI) still remains to be a concern during daily lives when patients are exposed to cellular phones, electronic security systems, and several household appliances. The aim of this study was to evaluate potential EMI risk of induction ovens, which are increasingly used in private households. The study included 40 consecutive patients (22 men, 18 women; age 73 +/- 11 years) with implanted DDD, VVI, VDD, and AAI pacemaker systems. The pacemakers were programmed to unipolar sensing and pacing. Sensitivity remained unchanged, if the measured sensing threshold was more than twice the programmed value; otherwise, it was set at half of the measured sensing threshold. Patients were placed in a sitting position at the closest possible distance of about 20 cm between two cooking pots and pacemaker bending the upper part of the body slightly over the induction oven. The energy was increased stepwise to the maximum. One pot was removed and placed again at the highest oven level. Potential interference was monitored continuously. The study showed no incidence of pacemaker malfunction during the entire test while the patients with intrinsic cardiac rhythms were exposed to the induction oven at varying energy strengths. Likewise, there was no external interference when the patients were paced at heart rates of 10-15 beats/min above their heart rates. The programmed parameters remained unchanged after the study. In conclusion, this study shows no EMI risk of an induction oven in patients with bipolar or right-sided unipolar pacemakers.

show abstract

Section: Discussionmentioning

confidence: 99%

Induction Ovens and Electromagnetic Interference:

Rickli

Facchini

Brunner

et al. 2003

Pacing Clinical Electrophis

View full text Add to dashboard Cite

show abstract

“…External electromagnetic fields (from cellular telephones, transcutaneous electrical nerve stimulation, metal detectors, welders, magnetic resonance imagining machines, automobile alarms, dental equipments, and electrosurgical instruments, etc.) have been known to cause interference in CIED(s) (3–9). Patients with an existing CIED were likely to have been denied neurostimulation therapy in the past based on such considerations (10).…”

Section: Discussionmentioning

confidence: 99%

Simultaneous Use of Neurostimulators in Patients With a Preexisting Cardiovascular Implantable Electronic Device

Ooi

Falowski

Wang

et al. 2011

Neuromodulation: Technology at the Neural Interface

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“…Electromagnetic interference has the potential to cause a pacemaker to respond in a number of ways: inappropriate inhibition or triggering of pacemaker output, asynchronous pacing, reprogramming to backup mode, or even irreversible damage to pacemaker components (table 4). 16 …”

Section: Environmental Interactionsmentioning

confidence: 99%

Follow up and optimisation of cardiac pacing

Roberts¹

2005

Heart

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Life after Pacemaker Implantation: Management of Common Problems and Environmental Interactions

Cited by 17 publications

References 20 publications

Induction Ovens and Electromagnetic Interference:

Induction Ovens and Electromagnetic Interference:

Simultaneous Use of Neurostimulators in Patients With a Preexisting Cardiovascular Implantable Electronic Device

Follow up and optimisation of cardiac pacing

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