Özkartal Tardu, Demarchi Andrea, Caputo Maria Luce, Baldi Enrico, Conte Giulio, Auricchio Angelo
Cardiocentro Ticino Institute, Ente Ospedaliero Cantonale, 6900 Lugano, Switzerland.
Arrhythmia and Electrophysiology and Experimental Cardiology, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Policlinico San Matteo, 27100 Pavia, Italy.
J Clin Med. 2022 Jan 28;11(3):691. doi: 10.3390/jcm11030691.
With the demographic evolution of the population, patients undergoing surgery today are older and have an increasing number of sometimes complex comorbidities. Cardiac implantable electronic devices (CIED) are also getting more and more complex with very sophisticated programming algorithms. It may be generally assumed that magnet application reverts pacing to an asynchronous mode in pacemakers and disables tachycardia detection/therapy in internal cardioverter-defibrillators. However, depending on device type, manufacturer and model, the response to magnet application may differ substantially. For these reasons, perioperative management of CIED patients is getting more and more challenging. With this review article we provide an overview of optimal perioperative management of CIED patients with a detailed description of CIED response to magnet application depending on manufacturer and device-type, which may help in providing a safe perioperative management plan for the CIED patient.
随着人口结构的演变，如今接受手术的患者年龄更大，且合并症数量日益增多，有时还很复杂。心脏植入式电子设备（CIED）也变得越来越复杂，其编程算法非常精密。一般认为，在起搏器中应用磁铁会使起搏恢复为异步模式，并使植入式心脏复律除颤器中的心动过速检测/治疗功能失效。然而，根据设备类型、制造商和型号的不同，对磁铁应用的反应可能会有很大差异。由于这些原因，CIED患者的围手术期管理变得越来越具有挑战性。在这篇综述文章中，我们概述了CIED患者的最佳围手术期管理，并根据制造商和设备类型详细描述了CIED对磁铁应用的反应，这可能有助于为CIED患者制定安全的围手术期管理计划。
