Are patients with cardiac implants protected against electromagnetic interference in daily life and occupational environment?

Napp, Andreas; Stunder, Dominik; Maytin, Melanie; Kraus, Thomas; Drießen, Sarah

doi:10.1093/eurheartj/ehv135

Cited by 37 publications

(33 citation statements)

References 45 publications

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“…Cardiovascular implantable electronic devices vary according to electrode polarity (unipolar or bipolar) [24,25], where the poles (anode and cathode) in the bipolar type were closer together than in the unipolar type [24]. This will lead to reduction in the probability of interpreting extremal signals as a cardiac event(s) [26].…”

Section: Discussionmentioning

confidence: 99%

Influence and safety of electronic apex locators in patients with cardiovascular implantable electronic devices: a systematic review

Alrahabi

Ghabbani

2018

Libyan Journal of Medicine

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The widespread use of cardiovascular implantable electronic devices has increased concerns regarding using electronic apex locators in patients with these devices. This systematic review investigated the effects and safety of using electronic apex locators in patients with cardiovascular implantable electronic devices.Methods: An electronic search in the Cochrane Library, PubMed (MEDLINE), ScienceDirect, and Scientific Electronic Library Online (Scielo) databases for relevant articles published between December 2000 and December 2018 was performed. The search strategy centered on terms related to electronic apex locators use during root canal treatment in patients with cardiovascular implantable electronic devices.Results: Seven studies (five in vitro and two in vivo) fulfilled the inclusion criteria for this review. It was found that electronic apex locators can be used safely in patients with cardiovascular implantable electronic devices, when general precautions are followed.Conclusions: Although the present review suggests that electronic apex locators can be used safely in patients with implantable cardioverter defibrillators, consultation with patients’ cardiologists remains advisable.

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Section: Discussionmentioning

confidence: 99%

Influence and safety of electronic apex locators in patients with cardiovascular implantable electronic devices: a systematic review

Alrahabi

Ghabbani

2018

Libyan Journal of Medicine

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“…It has been publicly available for more than 15 years and comprises currently 23,800 publications (November 2016). The EMF-Portal is used by scientists (e.g., [21–23]), government agencies (e.g., [24]), and academies of science (e.g., [25]). Relevant studies for inclusion in the EMF-Portal are identified on a daily basis with the aid of systematic search strategies in major literature databases such as Pubmed (years of coverage: 1946 to present), Cochrane Library (years of coverage: 1992 to present), and IEEE Xplore Digital Library (years of coverage: 1892 to present).…”

Section: Methodsmentioning

confidence: 99%

Biological effects of exposure to static electric fields in humans and vertebrates: a systematic review

et al. 2017

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BackgroundHigh-voltage direct current (HVDC) lines are the technology of choice for the transport of large amounts of energy over long distances. The operation of these lines produces static electric fields (EF), but the data reviewed in previous assessments were not sufficient to assess the need for any environmental limit. The aim of this systematic review was to update the current state of research and to evaluate biological effects of static EF.MethodsUsing the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) recommendations, we collected and evaluated experimental and epidemiological studies examining biological effects of exposure to static EF in humans (n = 8) and vertebrates (n = 40).ResultsThere is good evidence that humans and animals are able to perceive the presence of static EF at sufficiently high levels. Hair movements caused by electrostatic forces may play a major role in this perception. A large number of studies reported responses of animals (e.g., altered metabolic, immunologic or developmental parameters) to a broad range of static EF strengths as well, but these responses are likely secondary physiological responses to sensory stimulation. Furthermore, the quality of many of the studies reporting physiological responses is poor, which raises concerns about confounding. ConclusionThe weight of the evidence from the literature reviewed did not indicate that static EF have adverse biological effects in humans or animals. The evidence strongly supported the role of superficial sensory stimulation of hair and skin as the basis for perception of the field, as well as reported indirect behavioral and physiological responses. Physical considerations also preclude any direct effect of static EF on internal physiology, and reports that some physiological processes are affected in minor ways may be explained by other factors. While this literature does not support a level of concern about biological effects of exposure to static EF, the conditions that affect thresholds for human detection and possible annoyance at suprathreshold levels should be investigated.Electronic supplementary materialThe online version of this article (doi:10.1186/s12940-017-0248-y) contains supplementary material, which is available to authorized users.

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“…There are scientific studies on the negative effects of electromagnetic radiation on health. Studies report that the operation of cardiac pacemakers is impaired or completely stopped under electromagnetic radiation and serious health problems occurred or triggered [18,19]. This suggests that monitoring the spectrum is a necessity, especially in the areas where hospitals and healthcare professionals provide healthcare.…”

Section: Impact On Healthmentioning

confidence: 99%

Monitoring, Surveillance, and Management of the Electromagnetic Spectrum: Current Issues in Electromagnetic Spectrum Monitoring

Boyacı¹,

Ekti²,

Yarkan³

et al. 2018

IU-JEEE

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This paper discusses the current aspects of the surveillance and management of the electromagnetic spectrum under various topics that are vital to wireless communications. On the basis of the recent technological advancements in conjunction with the discussions on the global approaches toward electromagnetic spectrum monitoring, the paper addresses short-, medium-, and long-term strategies in wireless communications for monitoring, governing, and managing the electromagnetic spectrum of leading countries and multinational organizations. Furthermore, it proposes a novel spectrum monitoring strategy for next-generation wireless systems and outlines the implications of the proposed strategy.

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Are patients with cardiac implants protected against electromagnetic interference in daily life and occupational environment?

Cited by 37 publications

References 45 publications

Influence and safety of electronic apex locators in patients with cardiovascular implantable electronic devices: a systematic review

Influence and safety of electronic apex locators in patients with cardiovascular implantable electronic devices: a systematic review

Biological effects of exposure to static electric fields in humans and vertebrates: a systematic review

Monitoring, Surveillance, and Management of the Electromagnetic Spectrum: Current Issues in Electromagnetic Spectrum Monitoring

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