Reprogramming of the cardiac implantable electronic device (CIED) likely to be necessary to:

Disable anti-tachyarrhythmia therapy (shock[s] and antitachycardia pacing) in an ICD when EMI is expected.

Disable anti-tachyarrhythmia therapy where movement from shock might create a hazard (eg, intraocular surgery).

Produce asynchronous pacing in a pacing-dependent patient when EMI is expected.

Increase the paced heart rate in a patient with sinus node incompetence to augment perioperative cardiac output and oxygen delivery.

Disable a minute ventilation sensor to prevent inappropriate high rate pacing in the presence of any monopolar radiofrequency instruments.

Disable a mechanical rate sensor where surgery will likely produce mechanical stimulation near the pulse generator (eg, breast surgery).

Magnet use may be an acceptable alternative to reprogramming with a programming machine if:

Response to magnet is known and effect is desirable

Patient is supine

Access to magnet is adequate

Magnet can be observed

Magnet can be easily removed in case of arrhythmia

ECG: electrocardiogram; ICD: implanted cardioverter-defibrillator; EMI: electromagnetic interference; AV: atrioventricular.

Adapted from: Crossley GH, Poole JE, Rozner MA, et al. The Heart Rhythm Society (HRS)/American Society of Anesthesiologists (ASA) Expert Consensus Statement on the perioperative management of patients with implantable defibrillators, pacemakers and arrhythmia monitors: facilities and patient management this document was developed as a joint project with the American Society of Anesthesiologists (ASA), and in collaboration with the American Heart Association (AHA), and the Society of Thoracic Surgeons (STS). Heart Rhythm 2011; 8:1114.

Graphic 105465 Version 4.0

خرید پکیج

Reprogramming of the cardiac implantable electronic device (CIED) likely to be necessary to: