Effects of medically generated electromagnetic interference from medical devices on cardiac implantable electronic devices: A review

2022 · Harm · Low evidence

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HarmLow evidencePaper 687

Study snapshot

Publicationmanual · 2022

Study typereview

Reported directionHarm

Evidence ratingLow

Abstract

Effects of medically generated electromagnetic interference from medical devices on cardiac implantable electronic devices: A review Barmore W, Patel H, Voong C, Tarallo C, Calkins JB Jr. Effects of medically generated electromagnetic interference from medical devices on cardiac implantable electronic devices: A review. World J Cardiol. 2022 Aug 26;14(8):446-453. doi: 10.4330/wjc.v14.i8.446. Abstract As cardiac implantable electronic devices (CIED) become more prevalent, it is important to acknowledge potential electromagnetic interference (EMI) from other sources, such as internal and external electronic devices and procedures and its effect on these devices. EMI from other sources can potentially inhibit pacing and trigger shocks in permanent pacemakers (PPM) and implantable cardioverter defibrillators (ICD), respectively. This review analyzes potential EMI amongst CIED and left ventricular assist device, deep brain stimulators, spinal cord stimulators, transcutaneous electrical nerve stimulators, and throughout an array of procedures, such as endoscopy, bronchoscopy, and procedures involving electrocautery. Although there is evidence to support EMI from internal and external devices and during procedures, there is a lack of large multicenter studies, and, as a result, current management guidelines are based primarily on expert opinion and anecdotal experience. We aim to provide a general overview of PPM/ICD function, review documented EMI effect on these devices, and acknowledge current management of CIED interference Open access paper: ncbi.nlm.nih.gov

Machine Enhanced Logic

AI evidence extraction

Structured fields below were generated from the paper’s abstract and metadata to make the evidence easier to inspect. Automated extraction may be incomplete or incorrect; verify important details against the original paper.

Study typereview

Effect directionharm

PopulationPeople with cardiac implantable electronic devices (CIED), including permanent pacemakers (PPM) and implantable cardioverter defibrillators (ICD)

Sample sizeNot supplied

ExposureNot supplied

Evidence strengthLowConfidence: 74% · Peer reviewed: yes

Main findings

The review describes evidence that electromagnetic interference from internal/external devices and during certain procedures can affect cardiac implantable electronic devices, including potentially inhibiting pacing in pacemakers and triggering shocks in ICDs. It notes a lack of large multicenter studies and states that current management guidelines are based primarily on expert opinion and anecdotal experience.

Outcomes measured

Electromagnetic interference (EMI) effects on CIED function
Pacing inhibition in permanent pacemakers (PPM)
Inappropriate triggering of shocks in implantable cardioverter defibrillators (ICD)
Management/guidelines for CIED interference

Limitations

Lack of large multicenter studies (as stated in the abstract)
Management guidelines described as based primarily on expert opinion and anecdotal experience

View raw extracted JSON

{
  "study_type": "review",
  "exposure": {
    "band": null,
    "source": "medical devices and medical procedures causing electromagnetic interference (EMI)",
    "frequency_mhz": null,
    "sar_wkg": null,
    "duration": null
  },
  "population": "People with cardiac implantable electronic devices (CIED), including permanent pacemakers (PPM) and implantable cardioverter defibrillators (ICD)",
  "sample_size": null,
  "outcomes": [
    "Electromagnetic interference (EMI) effects on CIED function",
    "Pacing inhibition in permanent pacemakers (PPM)",
    "Inappropriate triggering of shocks in implantable cardioverter defibrillators (ICD)",
    "Management/guidelines for CIED interference"
  ],
  "main_findings": "The review describes evidence that electromagnetic interference from internal/external devices and during certain procedures can affect cardiac implantable electronic devices, including potentially inhibiting pacing in pacemakers and triggering shocks in ICDs. It notes a lack of large multicenter studies and states that current management guidelines are based primarily on expert opinion and anecdotal experience.",
  "effect_direction": "harm",
  "limitations": [
    "Lack of large multicenter studies (as stated in the abstract)",
    "Management guidelines described as based primarily on expert opinion and anecdotal experience"
  ],
  "evidence_strength": "low",
  "confidence": 0.74,
  "peer_reviewed_likely": "yes",
  "keywords": [
    "electromagnetic interference",
    "EMI",
    "cardiac implantable electronic devices",
    "CIED",
    "pacemaker",
    "permanent pacemaker",
    "PPM",
    "implantable cardioverter defibrillator",
    "ICD",
    "left ventricular assist device",
    "deep brain stimulator",
    "spinal cord stimulator",
    "transcutaneous electrical nerve stimulator",
    "endoscopy",
    "bronchoscopy",
    "electrocautery"
  ],
  "suggested_hubs": [
    {
      "slug": "occupational-exposure",
      "weight": 0.2,
      "reason": "Discusses EMI from medical devices/procedures affecting implanted cardiac devices; could be relevant to clinical/medical workplace exposure contexts, though occupational setting is not explicitly studied."
    }
  ]
}

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AI-extracted fields are generated from the abstract and metadata and may be incomplete or incorrect. This material is for informational purposes and is not medical advice.

Identifiers and source

DOI: 10.4330/wjc.v14.i8.446
PubMed: Not supplied

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