Academic Journal

Assessing the safety of interrogating cardiac-implantable electronic devices with brand-mismatched remote interrogators: a pilot study

التفاصيل البيبلوغرافية
العنوان: Assessing the safety of interrogating cardiac-implantable electronic devices with brand-mismatched remote interrogators: a pilot study
المؤلفون: Tinh Le, James Neuenschwander, Parker Cordial, Mackenzie Sankoe, Ankur Parekh, Brian Hiestand, WF Peacock
المصدر: Clinical and Experimental Emergency Medicine, Vol 9, Iss 1, Pp 24-28 (2022)
بيانات النشر: The Korean Society of Emergency Medicine, 2022.
سنة النشر: 2022
المجموعة: LCC:Medical emergencies. Critical care. Intensive care. First aid
مصطلحات موضوعية: electrophysiology, defibrillator, cardiac resynchronization therapy devices, artificial pacemaker, emergency treatment, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
الوصف: Objective Remote cardiac implantable electronic device (CIED) interrogators, originally developed for home use, have been proven to be efficacious in clinical settings, especially emergency departments. Concern exists that attempting to interrogate a CIED with the remote interrogator of a different brand, i.e., a brand-mismatched interrogator, may cause device malfunction. The aim of this study was to determine if intentionally attempting to interrogate a CIED with a brand-mismatched remote interrogator resulted in device malfunction. Methods A total of 75 ex vivo CIEDs manufactured by various companies underwent attempted interrogation by a brand-mismatched remote interrogator. CIED settings were compared before and after attempted mismatch interrogation. A total of 30 in vivo CIEDs were then randomized for an attempted 2-minute mismatched remote interrogation by one of the two possible mismatched remote interrogators. CIED settings were compared before and after attempted mismatch interrogation. Results Of 150 ex vivo brand-mismatched interrogations, no device setting changes or malfunctions occurred; no remote interrogators connected to a mismatched CIED, and no devices were turned off. In the 30 patients undergoing brand-mismatched interrogations, the mean (standard deviation) age was 71.6 ( ± 14.7) years, 16 (53%) were male, with 24 pacemakers (80%), four pacemaker/implantable cardioverter defibrillators (13%), and two implantable cardioverter defibrillators (7%). Of the 30 mismatched interrogations performed, no device setting changes or malfunctions occurred; no remote interrogators connected to a mismatched CIED, and no devices turned off. Conclusion In a total 180 attempted brand-mismatched CIED interrogations, no CIED malfunctions occurred. This suggests that the use of remote CIED interrogators when device manufacturer is unknown is unlikely to result in adverse CIED-related events.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2383-4625
Relation: http://ceemjournal.org/upload/pdf/ceem-21-065.pdf; https://doaj.org/toc/2383-4625
DOI: 10.15441/ceem.21.065
URL الوصول: https://doaj.org/article/815d73bfd13f48478cdb0c5994594cc7
رقم الانضمام: edsdoj.815d73bfd13f48478cdb0c5994594cc7
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:23834625
DOI:10.15441/ceem.21.065