電子製品監視システムとインプラント可能なカーディオバーター-デフィブリレーターとの相互作用
W J Groh1, S A Boschee, E D Engelstein
1Krannert Institute of Cardiology, Indiana University, Indianapolis, IN, USA.
Circulation
|July 27, 1999
まとめ
埋め込み式心動除細動器 (ICD) を搭載した患者は,電子物品監視システムを通って安全に歩くことができます. しかし,これらのシステムの近くに留まると,不適切なICDショックが発生し,患者の安全を脅かす可能性があります.
科学分野:
- 心臓病学 心臓病学
- バイオメディカルエンジニアリング
- 医療機器 医療機器について
背景:
- implantable cardioverter-defibrillators (ICDs) による不適切なショックは,電子物品監視システム (EAS) と関連付けられている.
- 患者がEASシステムを通過したり,EASシステムに近寄ったりする際のICDに関連する特定のリスクについては,さらなる明確化が必要である.
研究 の 目的:
- ICD機能の安全性を評価するために,患者がEASシステムを通過したり,EASシステムに晒されているとき.
- ICDとEASシステムの間の潜在的な相互作用を調査し,有害事象につながる可能性があります.
主な方法:
- ICDを持つ170人の被験者は,短いウォーク・スルーと3つの一般的なEASシステムへの長期曝露 (6インチ以内の2分) の間に評価されました.
- ICD機能は,ICDペースのシナリオを含む,これらの曝露の間に監視されました.
主要な成果:
- EASシステムの10〜15秒のウォークスルーでは,ICD機能に対する悪影響は観察されなかった.
- 長期曝露中の169人のうち19人の被験者に相互作用が発生し,そのうち7人が臨床的に重要で,不適切なICDショックの可能性がありました.
- 12人の被験者は軽微な相互作用を経験しました.
結論:
- EASシステムを通過することは,ICDの患者にとって安全です.
- 長期にわたる曝露またはEASシステムの近くに留まることは,潜在的に不適切なICDショックを引き起こす可能性があります.
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