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移动电话对植入式心脏复律除颤器的功能有不良影响吗?

[Do mobile telephones have adverse effects on the functions of implantable cardioverter defibrillators?].

作者信息

Tandoğan Izzet, Ileri Mehmet, Yetkin Ertan, Temizhan Ahmet, Aras Dursun, Sezgin Alpay T, Biyikoğlu Funda, Saşmaz Ali

机构信息

Türkiye Yüksek Ihtisas Hastanesi Kardiyoloji Kliniği, Ankara.

出版信息

Anadolu Kardiyol Derg. 2002 Mar;2(1):45-8, AXVII.

Abstract

OBJECTIVE

The aim of this study was to investigate the effects of widely used mobile telephones on the functions of implantable cardioverter-defibrillators (ICD).

METHODS

The study included 9 patients (2 women, 7 men, mean age 65.5 +/- 6) with coronary artery disease who had underwent transvenous ICD implantation due to sustained ventricular tachycardia and/or fibrillation. First the test was performed on the basal conditions of ICD. Then, spontaneous heart rate of the patient was programmed to 10 beats/minute on VVI mode and the test was repeated. Two mobile telephones were located symmetrically 50 cm, 30 cm, 20 cm and 10 cm away from the ICD pocket in the pectoralis muscle and finally the mobile telephones antennas were touched to the pockets. On these different distances, the test was repeated during opening, standby, calling, talking and closing of the telephones. Possible ICD dysfunctions such as improper antitachycardic shock, inhibition of pacemaker functions, conversion to ventricular asynchronous mode (VOO) and development of ventricular trigger in devices with two chamber pacemaker functions were tested. The changes were observed on intracardiac and surface ECG's.

RESULTS

There were no changes in the basal and pacemaker functions of ICD's and no symptoms in any patients.

CONCLUSION

We have concluded that mobile telephones have no adverse effects on the functions of types of ICD assessed in the study.

摘要

目的

本研究旨在调查广泛使用的移动电话对植入式心脏复律除颤器(ICD)功能的影响。

方法

该研究纳入了9例(2例女性,7例男性,平均年龄65.5±6岁)因持续性室性心动过速和/或颤动接受经静脉ICD植入的冠心病患者。首先在ICD的基础条件下进行测试。然后,将患者的自发心率在VVI模式下编程为10次/分钟,并重复测试。两部移动电话对称放置在距胸大肌中ICD囊袋50厘米、30厘米、20厘米和10厘米处,最后将移动电话天线接触囊袋。在这些不同距离下,在电话开机、待机、呼叫、通话和关机期间重复测试。测试了可能的ICD功能障碍,如抗心动过速电击不当、起搏器功能抑制、转换为心室异步模式(VOO)以及具有双腔起搏器功能的设备中出现心室触发。观察心内和体表心电图的变化。

结果

ICD的基础功能和起搏器功能均无变化,所有患者均无任何症状。

结论

我们得出结论,移动电话对本研究中评估的各类ICD功能没有不良影响。

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