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超声洁牙器会干扰植入式心脏复律除颤器吗?一项体内研究。

Do ultrasonic dental scalers interfere with implantable cardioverter defibrillators? An in vivo investigation.

作者信息

Maiorana Carlo, Grossi Giovanni B, Garramone Rocco A, Manfredini Ruggero, Santoro Franco

机构信息

School of Oral Surgery, Dental Clinic, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy.

出版信息

J Dent. 2013 Nov;41(11):955-9. doi: 10.1016/j.jdent.2013.08.006. Epub 2013 Aug 13.

Abstract

OBJECTIVES

To test the in vivo effects of an ultrasonic dental scaler on various implanted cardioverter defibrillator (ICD) models.

METHODS

12 consecutive patients with ICDs had continuous both electrocardiogram monitoring and device interrogation to detect interferences during the use of an ultrasonic dental scaler.

RESULTS

No interferences were detected by any ICD. Evaluation of the electrocardiograms for each patient failed to show any abnormalities in pacing during testing.

CONCLUSION

The results of this study suggest that the routinary clinic use of piezoelectric dental scalers do not interfere with the functioning of any of the tested ICDs.

CLINICAL SIGNIFICANCE

Ultrasonic dental scalers have been suspected of electromagnetic interference (EMI) with the normal functioning of ICDs and the use of this type of equipment for patients with these devices has been controversial. This is the first in vivo study to investigate EMI of ICD activity during the operation with ultrasonic dental scaler.

摘要

目的

测试超声洁牙机对各种植入式心脏复律除颤器(ICD)型号的体内影响。

方法

12例连续的ICD患者在使用超声洁牙机期间进行连续心电图监测和设备问询,以检测干扰情况。

结果

任何ICD均未检测到干扰。对每位患者的心电图评估未能显示测试期间起搏有任何异常。

结论

本研究结果表明,临床常规使用压电式洁牙机不会干扰任何测试的ICD的功能。

临床意义

超声洁牙机一直被怀疑会对ICD的正常功能产生电磁干扰(EMI),对于患有这些设备的患者使用此类设备一直存在争议。这是第一项研究超声洁牙机操作期间ICD活动的EMI的体内研究。

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