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J Am Coll Cardiol, 2003; 41:2054-2059, doi:10.1016/S0735-1097(03)00424-8
© 2003 by the American College of Cardiology Foundation
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CLINICAL RESEARCH: ELECTROPHYSIOLOGICAL DISORDERS

Do airport metal detectors interfere with implantable pacemakers or cardioverter-defibrillators?

Christof Kolb, MD*,*, Sebastian Schmieder, MD*, G.ünter Lehmann, MD*, Bernhard Zrenner, MD*, Martin R. Karch, MD*, Andreas Plewan, MD* and Claus Schmitt, MD*

* Deutsches Herzzentrum München and 1. Med. Klinik, Klinikum rechts der Isar der Technischen Universität München, Munich, Germany

Manuscript received November 30, 2002; revised manuscript received February 7, 2003, accepted February 20, 2003.

* Reprint requests and correspondence: Dr. med. Christof Kolb, Deutsches Herzzentrum München, Elektrophysiologie, Lazarettstrasse 36, 80636 Munich, Germany.
Kolb{at}dhm.mhn.de

OBJECTIVES: The aim of this study was to determine whether airport metal detector gates (AMDGs) interfere with pacemakers (PMs) or implantable cardioverter-defibrillators (ICDs).

BACKGROUND: It is currently unknown whether AMDGs interfere with implanted PMs or ICDs.

METHODS: A total of 348 consecutive patients (200 PM and 148 ICD recipients) have been tested for the occurrence of electromagnetic interference (EMI) within the electromagnetic field of a worldwide-used airport metal detector.

RESULTS: No interference, such as pacing or sensing abnormalities, was observed in any of the 200 PM and 148 ICD patients; also no reprogramming occurred.

CONCLUSIONS: In vivo testing of PM and ICD systems showed no EMI with a standard AMDG. Clinically relevant interactions with implanted PMs or ICDs seem unlikely.

Abbreviations and Acronyms
  AMDG
  airport metal detector gate
  ECG
  electrocardiogram
  EMI
  electromagnetic interference
  ICD
  implantable cardioverter-defibrillator
  PM
  pacemaker




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