Division of Pulmonary Medicine, Mayo Clinic Hospital, Phoenix, Arizona.
Division of Heart Rhythm Services, Mayo Clinic School of Graduate Medical Education, Mayo Clinic College of Medicine and Science, Phoenix, Arizona.
J Clin Sleep Med. 2023 May 1;19(5):941-946. doi: 10.5664/jcsm.10478.
To evaluate for potential interactions between magnetic positive airway pressure (mPAP) masks and cardiac implantable electronic devices (CIEDs) for patients with sleep apnea.
Adult patients with a CIED who used an mPAP mask were recruited from our sleep clinic to undergo a safety visit at our pacemaker clinic. We tested whether the mPAP interacted with the implanted device at home during normal use and in the clinic during simulated normal use and with direct contact. The magnetic field strength of 6 mPAP masks was tested with a gaussmeter.
Of 13 patients tested, 1 (8%), wearing a full face mask (ResMed AirFit F30 [ResMed, San Diego, California]), had a magnet response event (interaction) with direct contact, but no interactions were identified during normal or simulated normal use in any patient. The magnetic field strength of the mPAP masks increased the closer the mask got to the CIED, from 0.4 mT (4 G) at the mask manufacturer's recommended 5.1-cm (2-inch) distance from an implanted medical device up to 291 mT (2,910 G) at 0 cm (0 inches; direct contact).
An mPAP mask may interact with a CIED if placed directly on the skin overlying the CIED. The use of Philips Respironics (Philips, Cambridge, Massachusetts) mPAP masks is now contraindicated in patients with a CIED. Until additional studies are conducted to better document the risks and benefits of mPAP masks, we recommend discouraging patients with CIEDs from using any mPAP mask.
Ruoff CM, Tashman YS, Cheema KPK, et al. Interaction of positive airway pressure mask magnets with cardiac implantable electronic devices. . 2023;19(5):941-946.
评估睡眠呼吸暂停患者使用磁正压通气（mPAP）面罩与心脏植入式电子设备（CIED）之间的潜在相互作用。
从我们的睡眠诊所招募了使用 mPAP 面罩的成年 CIED 患者，在我们的起搏器诊所进行安全就诊。我们在家中测试了 mPAP 在正常使用期间以及在诊所中模拟正常使用期间与直接接触时是否与植入设备相互作用。使用高斯计测试了 6 个 mPAP 面罩的磁场强度。
在接受测试的 13 名患者中，有 1 名（8%）患者佩戴全面罩（ResMed AirFit F30 [ResMed，圣地亚哥，加利福尼亚州]），在直接接触时发生了磁体反应事件（相互作用），但在任何患者中均未在正常或模拟正常使用期间发现相互作用。mPAP 面罩的磁场强度随着面罩靠近 CIED 而增加，从距植入医疗器械 5.1 厘米（2 英寸）处的制造商推荐距离 0.4 毫特斯拉（4 高斯）增加到 0 厘米（0 英寸；直接接触）处的 291 毫特斯拉（2,910 高斯）。
如果将 mPAP 面罩直接放置在覆盖 CIED 的皮肤上，可能会与 CIED 相互作用。现在建议在有 CIED 的患者中禁止使用 Philips Respironics（马萨诸塞州剑桥市的飞利浦）的 mPAP 面罩。在进行更多研究以更好地记录 mPAP 面罩的风险和益处之前，我们建议劝阻有 CIED 的患者不要使用任何 mPAP 面罩。
Ruoff CM，Tashman YS，Cheema KPK，等。正压通气面罩磁铁与心脏植入式电子设备的相互作用。睡眠呼吸医学杂志。2023；19（5）：941-946。
