THE CHANGE OF CARDIOSTIMULATION DEVICE PROGRAMMING DUE TO DETECTION OF ELECTROMAGNETIC INTERFERENCE

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Autori: Jan Morava ^1,2,3; Aleš Richter ^1,3
Pôsobisko autorov: Faculty of Mechatronics, Informatics and Interdisciplinary Studies, Technical University of Liberec, Liberec, Czech Republic ¹; Department of Cardiology, Regional Hospital Liberec, Liberec, Czech Republic ²; Faculty of Health Studies, Technical University of Liberec, Liberec, Czech Republic ³
Vyšlo v časopise: Lékař a technika - Clinician and Technology No. 2, 2020, 50, 65-68
Kategória: Původní práce
doi: https://doi.org/10.14311/CTJ.2020.2.04

Súhrn

The study deals with the interdisciplinary topic of the electromagnetic compatibility of the cardiac implantable electronic devices that are used in patients with a defect of heart conduction system. We are focusing on the detection of disturbing signals on electrodes of cardiostimulation device and its interpretation. The detection of electromagnetic interference (EMI) is related to electrode choice, device placement, its configuration and programming. The aim of the study is the analysis of the pacemaker response in the presence of an external source of the disturbance fields. We point to possible risks of its interaction and discuss mechanisms that can influence the pacemaker sensitivity to EMI. Due to improper signal detection, the device programming changes can occur. We present an experiment of the exposure of the cardiostimulation system to a low-frequency harmonic interference signals and finally we analyse similar clinical episode and discuss proper functioning of the pacemaker.

Klíčová slova:

Cardiostimulation implantable devices (CIED) – Electrophysiology – electromagnetic interference (EMI) – Cardiology

Zdroje

Napp A, Stunder D, Maytin M, Kraus T, Marx N, Driessen S. Are patients with cardiac implants protected against electro-magnetic interference in daily life and occupational environ-ment?. European heart journal. 2015 Jul 21;36(28):1798–804. DOI: 10.1093/eurheartj/ehv135
Morava J, Richter A, Eichler J. Detection of Electromagnetic Interference on Electrodes of Cardiac Implantable Electronic Devices. In: 2019 12th International Conference on Measure-ment. IEEE; 2019 May 27. pp. 182–5. DOI: 10.23919/MEASUREMENT47340.2019.8780035
Ellenbogen KA, Wilkoff BL, Kay GN, Lau CP, Auricchio A. Clinical Cardiac Pacing, Defibrillation and Resynchronization Therapy. Elsevier, 2017. ISBN 978-0- 323-37804-8.
Gercek C, Kourtiche D, Nadi M, Magne I, Schmitt P, Souques M. Computation of pacemakers immunity to 50 Hz electric field: Induced voltages 10 times greater in unipolar than in bipolar detection mode. Bioengineering. 2017 Mar;4(1). DOI: 10.3390/bioengineering4010019
Morava J, Richter A, Kučera P. Electromagnetic Compatibility of Cardiostimulation Technology in Relation to Human Body—The Introductory Study. In: World Congress on Medical Physics and Biomedical Engineering 2018. Springer Singapore; 2019. pp. 755–60. DOI: 10.1007/978-981-10-9035-6_139