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Beeinflussen D-Netz Mobiltelefone pektoral implantierte Defibrillatoren?

Are pectoral implanted cardioverter defibrillators subject to electromagnetic interference by D-net mobile-phones

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Herzschrittmachertherapie und Elektrophysiologie Aims and scope Submit manuscript

Zusammenfassung

Mobiltelefone können bekanntermaßen durch die Abstrahlung von elektromagnetischen Feldern zu einer Fehlfunktion von antibradykarden Herzschrittmachern führen. Eine Beeinflussung von pektoral implantierten Kardioverter-Defibrillatoren (ICD) erscheint somit theoretisch ebenfalls denkbar. Wir untersuchten 15 Patienten mit subpektoralen «single-lead» ICD-Systemen (Cardiac Pacemaker Inc., Ventak PRX III und Ventak Mini) auf Veränderungen von programmierten Parametern sowie Störungen der Wahrnehmung, Stimulation, Arrhythmieerkennung und-beendigung ducch die Benutzung eines D-Netz Mobiltelefons. In allen durchgeführten Tests zeigten sich dabei keine Beeinflussung der ICDs während Stand-by-Modus, Verbindungsaufbau und Gesprächsführung. Somit scheint die Benutzung eines GSM oder D-Netz Telefones für Patienten mit subpektoralen ICD-Systemen der untersuchten Art keine Gefahr darzustellen.

Summary

The use of GSM or D-net mobile-phones has been proven to disturb antibradycardiac pacemaker function by electromagnetic fields. Therefore interference between these phones and subpectroral ICD-systems is conceivable. We investigated effects on programmed parameters, sensing and pacing, as well as detection and termination of arrhythmias in 15 patients with pectoral single-lead ICD-systems (Cardiac Pacemaker Inc., Ventak PRX III and Ventak Mini). During all tests, including stand-by mode, incoming and outgoing calls and transmission, no malfunction of the ICDs occurred. In conclusion, the use of a D-net mobile phone (European GSM-standard) by patients with subpectoral ICD-systems of the tested types seems to be safe.

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Schibgilla, V., Kuly, S., Diem, B. et al. Beeinflussen D-Netz Mobiltelefone pektoral implantierte Defibrillatoren?. Herzschr Elektrophys 8, 124–128 (1997). https://doi.org/10.1007/BF03042500

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