Vanga Subba R, Bommana Sudharani, Kroll Mark W, Swerdlow Charles, Lakkireddy Dhanunjaya
University of Kansas Hospitals, Kansa City, KS, USA.
Annu Int Conf IEEE Eng Med Biol Soc. 2009;2009:3199-204. doi: 10.1109/IEMBS.2009.5333136.
Conducted electrical weapons (CEW) have generated controversy in recent years regarding their effect on heart rhythm and on their suspected interaction with implanted devices such as the pacemakers and ICDs (implantable cardioverter defibrillators). We review the current evidence available on device interactions and pre-sent a new case series of 6 patients.
We used the available case reports and animal studies on TASER or CEW related publications in PubMed.
Oversensing of TASER CEW discharges may cause noise reversion pacing in pacemakers and inappropriate detection of VF in ICDs. The nominal 5-second discharge is sufficiently short that neither clinically significant inhibition of bradycardia pacing nor inappropriate ICD shocks have been reported. Current evidence indicates that CEW discharges do not have adverse effects on pacemakers and ICDs.
近年来，导电电子武器（CEW）在其对心律的影响以及与植入式设备（如起搏器和植入式心脏复律除颤器（ICD））的疑似相互作用方面引发了争议。我们回顾了目前关于设备相互作用的现有证据，并呈现了一个新的包含6例患者的病例系列。
我们利用了PubMed上有关泰瑟枪或CEW相关出版物的现有病例报告和动物研究。
泰瑟枪CEW放电的过感知可能会导致起搏器出现噪声反转起搏，以及ICD对室颤的不恰当检测。标称的5秒放电时间足够短，以至于尚未有关于临床上显著抑制缓慢性心律失常起搏或不恰当ICD电击的报道。目前的证据表明，CEW放电对起搏器和ICD没有不良影响。
