Are patients with cardiac implants protected against electromagnetic interference in daily life and occupational environment?

Eur Heart J. 2015 Jul 21;36(28):1798-804. doi: 10.1093/eurheartj/ehv135. Epub 2015 Apr 22.

Abstract

Utilization of cardiac implants such as pacemakers and implantable cardioverter defibrillators is now commonplace among heart disease patients. The ever-increasing technological complexity of these devices is matched by the near omnipresent exposure to electric, magnetic, and electromagnetic fields (EMFs), both in everyday life and the occupational environment. Given that electromagnetic interferences (EMIs) are associated with potential risk in device patients, physicians are increasingly confronted with managing device patients with intermittent EMI and chronic occupational exposure. The current review aims to provide a contemporary overview of cardiovascular implantable electronic devices, their function and susceptibility of non-medical EMFs and provide recommendations for physicians caring for cardiac device patients presenting with EMI.

Keywords: Cardiac pacemaker; Cardiovascular implantable electronic devices; Electromagnetic fields; Electromagnetic interference; Implantable cardioverter defibrillators.

Publication types

  • Review

MeSH terms

  • Activities of Daily Living
  • Algorithms
  • Arrhythmias, Cardiac / etiology
  • Arrhythmias, Cardiac / therapy
  • Defibrillators, Implantable*
  • Electromagnetic Fields / adverse effects*
  • Environmental Exposure / prevention & control*
  • Equipment Design
  • Equipment Failure
  • Humans
  • Occupational Exposure / prevention & control
  • Pacemaker, Artificial*