Raden G, Pavlović P, Vucinić Z, Tavciovski D, Matunović R, Djuran P, Prcović M
Vojnosanit Pregl. 1999 Sep-Oct;56(5):491-7.
The aim of the study was to examine if there existed a risk from interference of cellular phones on patients with implanted permanent pacemakers. The study comprised 144 patients (134 VVI/VVIR and 10 DDD/DDDR) with permanent pacemakers of different manufactures.
During the routine pacemaker check, cellular phone aerial (Nokia 1610; GSM Standard) was placed against the skin of patients above the spot of pacemaker implantation, while the phone calls were repeated and ECG was continuously monitored. The effect of cellular phone on pacemaker was established upon: a) preexisting parameters of electric pacemaker stimulation; b) minimal ventricular rate of 90 beats/min, while electric stimulation parameters were set to their most sensitive values (MSV).
Only in 9 (6.25%) patients was observed intermittent pacemaker inhibition, when pacemaker settings were on preexisting values of electric stimulation, while in 17 patients (11.8%) inhibition was noticed, when pacemaker settings were changed to their MSV. Besides, programmed values of electric stimulation in our patients remained unchanged.
Although the electromagnetic interference interactions of cellular phones on pacemaker function were observed in relatively small number of our patients, we were of the opinion that pacemaker-dependent patients should avoid the use of cellular phones.
本研究的目的是检查手机对植入永久性起搏器的患者是否存在干扰风险。该研究包括144例使用不同厂家永久性起搏器的患者（134例VVI/VVIR型和10例DDD/DDDR型）。
在常规起搏器检查期间，将手机天线（诺基亚1610；GSM标准）贴在起搏器植入部位上方患者的皮肤上，同时重复拨打电话并持续监测心电图。根据以下情况确定手机对起搏器的影响：a）起搏器电刺激的原有参数；b）心室率最低为90次/分钟，同时将电刺激参数设置为最敏感值（MSV）。
当起搏器设置为电刺激的原有值时，仅9例（6.25%）患者出现间歇性起搏器抑制；而当起搏器设置改为MSV时，17例（11.8%）患者出现抑制。此外，我们患者的电刺激程控值保持不变。
尽管在我们相对少数的患者中观察到了手机对起搏器功能的电磁干扰相互作用，但我们认为依赖起搏器的患者应避免使用手机。
