Corzani Alessandro, Ziacchi Matteo, Biffi Mauro, Allaria Luca, Diemberger Igor, Martignani Cristian, Bratten Tara, Gardini Beatrice, Boriani Giuseppe
aDepartment of Experimental, Diagnostic and Specialty Medicine, Institute of Cardiology, University of Bologna, S.Orsola Malpighi University Hospital, Bologna, Italy bMedtronic Inc, Minneapolis, Minnesota, USA *These authors contributed equally to this work.
J Cardiovasc Med (Hagerstown). 2015 Oct;16(10):704-13. doi: 10.2459/JCM.0000000000000301.
The number of cardiac implantable electronic devices (CIEDs) has greatly increased in the last 10 years. Many electronic devices used in daily activities generate electromagnetic interferences (EMIs) that can interact with CIEDs. In clinical practice, it is very important to know the potential sources of EMIs and their effect on CIEDs in order to understand how to manage or mitigate them. A very important source of EMI is magnetic resonance (MR), which is considered nowadays the diagnostic gold standard for different anatomical districts. In this review, we focused on the effects of EMI on CIEDs and on the clinical management. Moreover, we made a clarification about MR and CIEDs.In patients with CIEDs, EMIs may cause potentially serious and even life-threatening complications (inappropriate shocks, device malfunctions, inhibition of pacing in pacemaker-dependent patients) and may rarely dictate device replacement. The association of inappropriate shocks with increased mortality highlights the importance of minimizing the occurrence of EMI. Adequate advice and recommendations about the correct management of EMIs in patients with CIEDs are required to avoid all complications during hospitalization and in daily life. Furthermore, the article focused on actual management about MR and CIEDs.
在过去十年中，心脏植入式电子设备（CIED）的数量大幅增加。日常活动中使用的许多电子设备会产生电磁干扰（EMI），这些干扰可能与CIED相互作用。在临床实践中，了解EMI的潜在来源及其对CIED的影响，对于理解如何管理或减轻这些干扰非常重要。一个非常重要的EMI来源是磁共振（MR），如今它被认为是不同解剖区域的诊断金标准。在本综述中，我们重点关注了EMI对CIED的影响以及临床管理。此外，我们对MR和CIED进行了说明。在CIED患者中，EMI可能会导致潜在的严重甚至危及生命的并发症（不适当的电击、设备故障、起搏器依赖患者的起搏抑制），并且很少可能需要更换设备。不适当的电击与死亡率增加之间的关联凸显了尽量减少EMI发生的重要性。需要为CIED患者提供关于正确管理EMI的充分建议和建议，以避免住院期间和日常生活中的所有并发症。此外，本文重点关注了关于MR和CIED的实际管理。
