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本文引用的文献

1
A prospective evaluation of a protocol for magnetic resonance imaging of patients with implanted cardiac devices.前瞻性评估一项针对植入式心脏设备患者磁共振成像的方案。
Ann Intern Med. 2011 Oct 4;155(7):415-24. doi: 10.7326/0003-4819-155-7-201110040-00004.
2
Abandoned pacemaker leads are a potential risk for patients undergoing MRI.废弃的起搏器导线对接受磁共振成像（MRI）检查的患者来说是一个潜在风险。
Pacing Clin Electrophysiol. 2011 Sep;34(9):1051-3. doi: 10.1111/j.1540-8159.2011.03176.x. Epub 2011 Jul 28.
3
The Heart Rhythm Society (HRS)/American Society of Anesthesiologists (ASA) Expert Consensus Statement on the perioperative management of patients with implantable defibrillators, pacemakers and arrhythmia monitors: facilities and patient management: executive summary this document was developed as a joint project with the American Society of Anesthesiologists (ASA), and in collaboration with the American Heart Association (AHA), and the Society of Thoracic Surgeons (STS).心律协会（HRS）/美国麻醉医师协会（ASA）关于植入式除颤器、起搏器和心律失常监测器患者围手术期管理的专家共识声明：设施与患者管理：执行摘要 本文件是与美国麻醉医师协会（ASA）联合开展的项目，并与美国心脏协会（AHA）和胸外科医师协会（STS）合作制定。
Heart Rhythm. 2011 Jul;8(7):e1-18. doi: 10.1016/j.hrthm.2011.05.010.
4
Safety, feasibility, and diagnostic value of cardiac magnetic resonance imaging in patients with cardiac pacemakers and implantable cardioverters/defibrillators at 1.5 T.心脏起搏器和植入式心脏复律除颤器患者在 1.5 T 下进行心脏磁共振成像的安全性、可行性和诊断价值。
Am Heart J. 2011 Jun;161(6):1096-105. doi: 10.1016/j.ahj.2011.03.007. Epub 2011 May 11.
5
Capsule endoscopy in patients with cardiac pacemakers and implantable cardioverter-defibrillators - a retrospective multicenter investigation.胶囊内镜在心脏起搏器和植入式心脏复律除颤器患者中的应用 - 一项回顾性多中心研究。
J Gastrointestin Liver Dis. 2011 Mar;20(1):33-7.
6
MRI of patients with cardiac pacemakers: a review of the medical literature.MRI 检查对心脏起搏器患者的影响：医学文献综述
AJR Am J Roentgenol. 2011 Feb;196(2):390-401. doi: 10.2214/AJR.10.4239.
7
Cardiac rhythm management devices and electroconvulsive therapy: a critical review apropos of a depressed patient with a pacemaker.心脏节律管理设备和电抽搐治疗：关于一位带有起搏器的抑郁患者的批判性评价。
J ECT. 2011 Sep;27(3):214-20. doi: 10.1097/YCT.0b013e31820057b3.
8
Radiation therapy with implanted cardiac pacemaker devices: a clinical and dosimetric analysis of patients and proposed precautions.植入式心脏起搏器患者放射治疗的临床和剂量学分析及防护建议。
Clin Oncol (R Coll Radiol). 2011 Mar;23(2):79-85. doi: 10.1016/j.clon.2010.08.031. Epub 2010 Oct 30.
9
Magnetic resonance imaging in patients with a pacemaker system designed for the magnetic resonance environment.磁共振成像在起搏器系统设计用于磁共振环境的患者中。
Heart Rhythm. 2011 Jan;8(1):65-73. doi: 10.1016/j.hrthm.2010.10.002. Epub 2010 Oct 7.
10
Effect of left ventricular assist device placement on preexisting implantable cardioverter-defibrillator leads.左心室辅助装置放置对预先存在的植入式心脏复律除颤器导线的影响。
J Card Fail. 2010 Apr;16(4):327-31. doi: 10.1016/j.cardfail.2009.12.003. Epub 2010 Jan 8.

电磁干扰与植入式心脏设备：医疗环境（下篇）。

Electromagnetic interference and implanted cardiac devices: the medical environment (part II).

机构信息

Department of Medicine, Division of Cardiovascular Disease, Electrophysiology and Pacing Service, Mayo Clinic, Jacksonville, Florida, USA.

出版信息

Clin Cardiol. 2012 Jun;35(6):321-8. doi: 10.1002/clc.21997. Epub 2012 Apr 26.

DOI:10.1002/clc.21997
PMID:22539263
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6652500/
Abstract

Electromagnetic interference produced by medical equipment can interact with implanted cardiac devices such as pacemakers and implantable cardioverter-defibrillators. The most commonly observed interaction is in the operating room with electrosurgery. The risk of interactions can often be mitigated by close communication between the cardiac-device specialist and the anesthesiology/surgical team to develop a patient-specific strategy that accounts for factors such as type of device, type of surgery, and whether the patient is pacemaker dependent. Although magnetic resonance imaging should generally not be used in patients with implanted cardiac devices, several published guidelines provide strategies and recommendations for managing risks if magnetic resonance imaging is required with no suitable diagnostic alternatives. Other common sources of electromagnetic interference in the medical environment are ionizing radiation and left ventricular assist devices.

摘要

医疗设备产生的电磁干扰可能会与植入式心脏设备（如起搏器和植入式心脏除颤器）相互作用。最常见的相互作用发生在手术室中，涉及电外科手术。通过心脏设备专家与麻醉/手术团队之间的密切沟通，可以制定出针对特定患者的策略，考虑设备类型、手术类型以及患者是否依赖起搏器等因素，从而降低相互作用的风险。尽管通常不建议在植入心脏设备的患者中使用磁共振成像，但有几项已发表的指南提供了在没有合适诊断替代方法时需要进行磁共振成像的情况下，管理风险的策略和建议。医疗环境中其他常见的电磁干扰源还有电离辐射和左心室辅助设备。