Vergassola R, Borgioli A, Chiodi L, Rossi D, Fazi A, Lebrun E, Vaccari M
UO Cardiologia/UTIC, USL 10/H, Firenze.
Minerva Cardioangiol. 1994 Jan-Feb;42(1-2):27-32.
Over the past decade there have been considerable advances in cardiac electrostimulation technologies. However, there are still reports of electromagnetic interference with pacemakers and pacemaker patients. We have studied the effects of various electromagnetic sources (short-wave diathermy, electrosurgical knives, electrotherapy and radiofrequencies) on both humans and animals. The results of the studies were completely negative and, therefore, we are convinced that today's pacemakers are much more reliable and hence less subject to interference from external electromagnetic sources. We performed the following tests: (a) Short-wave diathermy: various electrode positions in pigs and 8 patients with pacemakers. (b) Electrosurgical knives: several tests on pigs with unipolar electrosurgical knife; 6 tests on humans during automatic defibrillator implantation using two-pole electrosurgical knives; 23 pacemaker patients underwent abdominal surgery (3 inguinal hernias, 12 gastric resections; 6 cholecystotomies, 2 aortic aneurysms-with two-pole electrosurgical knives). (c) Electrotherapy (TENS): on pigs. (d) Radiofrequency (RF) for transcatheter ablation-several tests on pigs.
在过去十年中,心脏电刺激技术取得了显著进展。然而,仍有关于起搏器和起搏器患者受到电磁干扰的报道。我们研究了各种电磁源(短波透热疗法、电外科手术刀、电疗法和射频)对人和动物的影响。研究结果完全为阴性,因此,我们确信当今的起搏器更加可靠,因此受外部电磁源干扰的可能性更小。我们进行了以下测试:(a)短波透热疗法:在猪和8名有起搏器的患者身上采用不同的电极位置。(b)电外科手术刀:用单极电外科手术刀对猪进行多次测试;在使用双极电外科手术刀植入自动除颤器期间对6名患者进行测试;23名有起搏器的患者接受腹部手术(3例腹股沟疝、12例胃切除术、6例胆囊切开术、2例主动脉瘤——均使用双极电外科手术刀)。(c)电疗法(经皮神经电刺激):在猪身上进行。(d)用于经导管消融的射频:在猪身上进行多次测试。