This review provides an overview of optimal perioperative management of CIED patients, detailing the variable responses to magnet application depending on device type, manufacturer, and model.
Provides an overview of optimal perioperative management of CIED patients, highlighting that device response to magnet application varies substantially by manufacturer and model.
With the demographic evolution of the population, patients undergoing surgery today are older and have an increasing number of sometimes complex comorbidities. Cardiac implantable electronic devices (CIED) are also getting more and more complex with very sophisticated programming algorithms. It may be generally assumed that magnet application reverts pacing to an asynchronous mode in pacemakers and disables tachycardia detection/therapy in internal cardioverter-defibrillators. However, depending on device type, manufacturer and model, the response to magnet application may differ substantially. For these reasons, perioperative management of CIED patients is getting more and more challenging. With this review article we provide an overview of optimal perioperative management of CIED patients with a detailed description of CIED response to magnet application depending on manufacturer and device-type, which may help in providing a safe perioperative management plan for the CIED patient.
Özkartal et al. (Fri,) conducted a review in Patients with Cardiac Implantable Electronic Devices (CIED) undergoing surgery. Perioperative management and magnet application was evaluated. This review provides an overview of optimal perioperative management of CIED patients, detailing the variable responses to magnet application depending on device type, manufacturer, and model.