title: Clinical management of electromagnetic interferences in patients with pacemakers and implantable cardioverter-defibrillators: review of the literature and focus on magnetic resonance conditional devices.
abstract: The number of cardiac implantable electronic devices (CIEDs) has greatly increased in the last 10 years. Many electronic devices used in daily activities generate electromagnetic interferences (EMIs) that can interact with CIEDs. In clinical practice, it is very important to know the potential sources of EMIs and their effect on CIEDs in order to understand how to manage or mitigate them. A very important source of EMI is magnetic resonance (MR), which is considered nowadays the diagnostic gold standard for different anatomical districts. In this review, we focused on the effects of EMI on CIEDs and on the clinical management. Moreover, we made a clarification about MR and CIEDs.In patients with CIEDs, EMIs may cause potentially serious and even life-threatening complications (inappropriate shocks, device malfunctions, inhibition of pacing in pacemaker-dependent patients) and may rarely dictate device replacement. The association of inappropriate shocks with increased mortality highlights the importance of minimizing the occurrence of EMI. Adequate advice and recommendations about the correct management of EMIs in patients with CIEDs are required to avoid all complications during hospitalization and in daily life. Furthermore, the article focused on actual management about MR and CIEDs.
authors: aDepartment of Experimental, Diagnostic and Specialty Medicine, Institute of Cardiology, University of Bologna, S.Orsola Malpighi University Hospital, Bologna, Italy bMedtronic Inc, Minneapolis, Minnesota, USA *These authors contributed equally to this work.
authors: Alessandro
authors: A
authors: Corzani
authors: Matteo
authors: M
authors: Ziacchi
authors: Mauro
authors: M
authors: Biffi
authors: Luca
authors: L
authors: Allaria
authors: Igor
authors: I
authors: Diemberger
authors: Cristian
authors: C
authors: Martignani
authors: Tara
authors: T
authors: Bratten
authors: Beatrice
authors: B
authors: Gardini
authors: Giuseppe
authors: G
authors: Boriani
mesh_terms: D040421:Cell Phone; D017147:Defibrillators, Implantable; D055590:Electromagnetic Phenomena; D004598:Electrosurgery; D006801:Humans; D008096:Lithotripsy; D008279:Magnetic Resonance Imaging / Q000009:adverse effects*; D010138:Pacemaker, Artificial