title: [Practical questions around individual with a pacemaker or an implantable cardioverter defibrillator].
abstract: An individual with a pacemaker can ask his GP for information about potential problems associated with the device. Should a pacemaker continue to be used by end-of-life patients? Should a pacemaker be stopped in a limited care situation? What precautions should be taken when treating a patient with a pacemaker? Pacemakers and implantable defibrillators are sensitive to electromagnetic interference (EMI). Medically, MRIs are theoretically contraindicated, even though examinations could be performed without a major problem, and special precautions should be taken when using an electrosurgical cutter or radiotherapy. In case of death, a doctor or embalmer must remove the patient's pacemaker due to its risk of explosion during cremation. Doctors who sign cremation forms have a legal obligation to provide such information. It may affect an employee's ability to work. Are there some professions that are not well suited for individuals with a pacemaker?
authors.affiliation: CHU d'Amiens-Picardie, service de médecine légale et sociale, Amiens cedex 1, France. manaouil.cecile@chu-amiens.fr
authors.forename: Cécile
authors.initials: C
authors.lastname: Manaouil
authors.forename: Sophie
authors.initials: S
authors.lastname: Fantoni
authors.forename: Dominique
authors.initials: D
authors.lastname: Montpellier
authors.forename: Eric
authors.initials: E
authors.lastname: Tordjman
authors.forename: Olivier
authors.initials: O
authors.lastname: Jarde
mesh_terms: D001076:Aptitude / Q000502:physiology; D001334:Automobile Driving / Q000706:statistics & numerical data; D000075202:Contraindications; D017147:Defibrillators, Implantable / Q000706:statistics & numerical data; D006801:Humans; D007899:Leisure Activities; D008279:Magnetic Resonance Imaging / Q000706:statistics & numerical data; D008991:Monitoring, Physiologic / Q000295:instrumentation / Q000379:methods / Q000706:statistics & numerical data; D009043:Motor Activity / Q000502:physiology; D010138:Pacemaker, Artificial / Q000706:statistics & numerical data; D011364:Professional Practice / Q000592:standards / Q000639:trends; D040242:Risk Reduction Behavior; D011795:Surveys and Questionnaires; D013727:Terminal Care / Q000379:methods; D014693:Ventricular Fibrillation / Q000453:epidemiology / Q000628:therapy*