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Electromagnetic Interference and Implanted Cardiac Devices: The Medical Environment (Part II)

机译:电磁干扰和植入式心脏设备:医疗环境(第二部分)

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摘要

Electromagnetic interference produced by medical equipment can interact with implanted cardiac devices such as pacemakers and implantable cardioverter‐defibrillators. The most commonly observed interaction is in the operating room with electrosurgery. The risk of interactions can often be mitigated by close communication between the cardiac‐device specialist and the anesthesiology/surgical team to develop a patient‐specific strategy that accounts for factors such as type of device, type of surgery, and whether the patient is pacemaker dependent. Although magnetic resonance imaging should generally not be used in patients with implanted cardiac devices, several published guidelines provide strategies and recommendations for managing risks if magnetic resonance imaging is required with no suitable diagnostic alternatives. Other common sources of electromagnetic interference in the medical environment are ionizing radiation and left ventricular assist devices. Clin. Cardiol. 2012 DOI: 10.1002/clc.21997The authors have no funding, financial relationships, or conflicts of interest to disclose.
机译:医疗设备产生的电磁干扰会与植入的心脏设备(例如起搏器和可植入的心脏复律除颤器)相互作用。最常见的交互作用是在手术室中进行电外科手术。通常,可以通过心脏器械专家与麻醉科/外科团队之间的密切沟通来减少相互作用的风险,以制定针对患者的策略,该策略应考虑诸如器械类型,手术类型以及患者是否为起搏器等因素依赖。尽管通常不应在植入有心脏装置的患者中使用磁共振成像,但是如果不需要磁共振成像而没有合适的诊断替代方法,则已发布的一些指南提供了管理风险的策略和建议。医疗环境中其他常见的电磁干扰源是电离辐射和左心室辅助设备。临床乙二醇。 2012 DOI:10.1002 / clc.21997作者没有任何资金,财务关系或利益冲突需要披露。

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