Open AccessElectromagnetic Interference and Implanted Cardiac Devices: The Medical Environment (Part II)
Author(s) -
Misiri Juna,
Kusumoto Fred,
Goldschlager Nora
Publication year - 2012
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.21997
Subject(s) - medicine , cardiac pacemaker , electromagnetic interference , magnetic resonance imaging , medical emergency , medical physics , cardiology , radiology , electrical engineering , engineering
Electromagnetic interference produced by medical equipment can interact with implanted cardiac devices such as pacemakers and implantable cardioverter‐defibrillators. The most commonly observed interaction is in the operating room with electrosurgery. The risk of interactions can often be mitigated by close communication between the cardiac‐device specialist and the anesthesiology/surgical team to develop a patient‐specific strategy that accounts for factors such as type of device, type of surgery, and whether the patient is pacemaker dependent. Although magnetic resonance imaging should generally not be used in patients with implanted cardiac devices, several published guidelines provide strategies and recommendations for managing risks if magnetic resonance imaging is required with no suitable diagnostic alternatives. Other common sources of electromagnetic interference in the medical environment are ionizing radiation and left ventricular assist devices. Clin. Cardiol. 2012 DOI: 10.1002/clc.21997 The authors have no funding, financial relationships, or conflicts of interest to disclose.