Effects of External Electrical and Magnetic Fields on Pacemakers and Defibrillators From Engineering Principles to Clinical Practice

Effects of External Electrical and Magnetic Fields on Pacemakers and Defibrillators From Engineering Principles to Clinical Practice
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DOI:
10.1161/circulationaha.113.005697
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发表时间:
2013-12-24
期刊:
影响因子:
37.8
通讯作者:
Nazarian, Saman
Nazarian, Saman
中科院分区:
医学1区
文献类型:
--
作者:
Beinart, Roy;Nazarian, Saman

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根据最近的一项全球调查,目前的新起搏器和植入式心律转复除颤器(ICD)植入率分别高于前几年,分别为每年70万和20万。与心血管植入式电子设备(CIED)使用的增长平行,技术进步导致了新的电磁辐射源。现代cied利用屏蔽、滤波器和双极引线来减轻电磁干扰(EMI)。然而,EMI偶尔会导致有害的后果。主治cied患者的医生必须了解典型的电磁干扰来源和预防cied故障的策略。
According to a recent worldwide survey, current rates of de novo pacemaker and implantable cardioverter-defibrillator (ICD) implantation are higher than those of previous years at> 700 000 and> 200 000 per year, respectively. 1 Parallel to the growth in cardiovascular implantable electronic device (CIED) use, technological advances have led to new sources of electromagnetic radiation. Modern CIEDs utilize shielding, filters, and bipolar leads to mitigate electromagnetic interference (EMI). Nevertheless, EMI sporadically results in harmful consequences. Physicians attending to patients with CIEDs must be aware of typical EMI sources and strategies to prevent malfunction of CIEDs.