Electric Cars and Electromagnetic Interference With Cardiac Implantable Electronic Devices: A Cross-sectional Evaluation

Letters4 September 2018Electric Cars and Electromagnetic Interference With Cardiac Implantable Electronic Devices: A Cross-sectional EvaluationCarsten Lennerz, MD, MSc, Matthew O'Connor, MA, MB BChir, Lorenz Horlbeck, Dipl-Ing, Jonathan Michel, MBBS, Severin Weigand, MD, Christian Grebmer, MD, Patrick Blazek, MD, Amir Brkic, MD, Verena Semmler, MD, Bernhard Haller, Dipl-Stat, Tilko Reents, MD, Gabriele Hessling, MD, Isabel Deisenhofer, MD, Peter Whittaker, MSc, PhD, Markus Lienkamp, PhD, and Christof Kolb, MDCarsten Lennerz, MD, MScDeutsches Herzzentrum München, Technische Universität München and German Centre for Cardiovascular Research, Munich, Germany (C.L.), Matthew O'Connor, MA, MB BChirWellington Hospital, Wellington, New Zealand (M.O.), Lorenz Horlbeck, Dipl-IngTechnische Universität München, Munich, Germany (L.H., B.H., M.L.), Jonathan Michel, MBBSDeutsches Herzzentrum München, Technische Universität München, Munich, Germany (J.M., S.W., C.G., P.B., A.B., V.S., T.R., G.H., I.D., C.K.), Severin Weigand, MDDeutsches Herzzentrum München, Technische Universität München, Munich, Germany (J.M., S.W., C.G., P.B., A.B., V.S., T.R., G.H., I.D., C.K.), Christian Grebmer, MDDeutsches Herzzentrum München, Technische Universität München, Munich, Germany (J.M., S.W., C.G., P.B., A.B., V.S., T.R., G.H., I.D., C.K.), Patrick Blazek, MDDeutsches Herzzentrum München, Technische Universität München, Munich, Germany (J.M., S.W., C.G., P.B., A.B., V.S., T.R., G.H., I.D., C.K.), Amir Brkic, MDDeutsches Herzzentrum München, Technische Universität München, Munich, Germany (J.M., S.W., C.G., P.B., A.B., V.S., T.R., G.H., I.D., C.K.), Verena Semmler, MDDeutsches Herzzentrum München, Technische Universität München, Munich, Germany (J.M., S.W., C.G., P.B., A.B., V.S., T.R., G.H., I.D., C.K.), Bernhard Haller, Dipl-StatTechnische Universität München, Munich, Germany (L.H., B.H., M.L.), Tilko Reents, MDDeutsches Herzzentrum München, Technische Universität München, Munich, Germany (J.M., S.W., C.G., P.B., A.B., V.S., T.R., G.H., I.D., C.K.), Gabriele Hessling, MDDeutsches Herzzentrum München, Technische Universität München, Munich, Germany (J.M., S.W., C.G., P.B., A.B., V.S., T.R., G.H., I.D., C.K.), Isabel Deisenhofer, MDDeutsches Herzzentrum München, Technische Universität München, Munich, Germany (J.M., S.W., C.G., P.B., A.B., V.S., T.R., G.H., I.D., C.K.), Peter Whittaker, MSc, PhDWayne State University School of Medicine, Detroit, Michigan (P.W.), Markus Lienkamp, PhDTechnische Universität München, Munich, Germany (L.H., B.H., M.L.), and Christof Kolb, MDDeutsches Herzzentrum München, Technische Universität München, Munich, Germany (J.M., S.W., C.G., P.B., A.B., V.S., T.R., G.H., I.D., C.K.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M17-2930 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: Cardiac implantable electronic devices (CIEDs) are considered standard care for bradycardia, tachycardia, and heart failure. Electromagnetic interference (EMI) can disrupt normal function of these devices and may cause pacing inhibition, inappropriate shock delivery, or device reprogramming. Electric cars represent a potential source of EMI. However, data are insufficient to determine their safety or whether their use should be restricted in patients with CIEDs.Objective: To assess whether electric cars cause EMI and subsequent CIED dysfunction.Methods and Findings: We approached 150 consecutive patients with CIEDs seen in our electrophysiology clinic for routine follow-up between May 2014 and January 2015; ...References1. Jilek C, Tzeis S, Vrazic H, Semmler V, Andrikopoulos G, Reents T, et al. Safety of screening procedures with hand-held metal detectors among patients with implanted cardiac rhythm devices: a cross-sectional analysis. Ann Intern Med. 2011;155:587-92. [PMID: 22041947]. doi:10.7326/0003-4819-155-9-201111010-00005 LinkGoogle Scholar2. Dawson TW, Caputa K, Stuchly MA, Shepard RB, Kavet R, Sastre A. Pacemaker interference by magnetic fields at power line frequencies. IEEE Trans Biomed Eng. 2002;49:254-62. [PMID: 11876290] CrossrefMedlineGoogle Scholar3. Milham S, Hatfield JB, Tell R. Magnetic fields from steel-belted radial tires: implications for epidemiologic studies. Bioelectromagnetics. 1999;20:440-5. [PMID: 10495309] CrossrefMedlineGoogle Scholar4. Stankowski S, Kessi A, Bécheiraz O, Meier-Engel K, Meier M. Low frequency magnetic fields induced by car tire magnetization. Health Phys. 2006;90:148-53. [PMID: 16404172] CrossrefMedlineGoogle Scholar5. Halgamuge MN, Abeyrathne CD, Mendis P. Measurement and analysis of electromagnetic fields from trams, trains and hybrid cars. Radiat Prot Dosimetry. 2010;141:255-68. [PMID: 20554578] doi:10.1093/rpd/ncq168 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Deutsches Herzzentrum München, Technische Universität München and German Centre for Cardiovascular Research, Munich, Germany (C.L.)Wellington Hospital, Wellington, New Zealand (M.O.)Technische Universität München, Munich, Germany (L.H., B.H., M.L.)Deutsches Herzzentrum München, Technische Universität München, Munich, Germany (J.M., S.W., C.G., P.B., A.B., V.S., T.R., G.H., I.D., C.K.)Wayne State University School of Medicine, Detroit, Michigan (P.W.)See also: Summary for Patients (page I-28).Financial Support: By Karl and Lore Klein Stiftung.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M17-2930.Reproducible Research Statement:Study protocol: Available in German from Dr. Lennerz (e-mail, [email protected]mhn.de). Statistical code: Not available. Data set: Available from Dr. Lennerz (e-mail, [email protected]mhn.de).This article was published at Annals.org on 24 April 2018. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoDo Electric Cars Interfere With Pacemakers and Defibrillators? Metrics Cited byStörbeeinflussungAnalyzing DC and AC Magnetic Field Intensity, Distribution, and Relationship in a Hyundai IONIQ 2016 Electric VehicleSafety of smartwatches and their chargers in patients with cardiac implantable electronic devicesPatients with pacemakers or defibrillators do not need to worry about e-Cars: An observational studyElektromagnetische Interferenz von aktiven Herzrhythmusimplantaten im Alltag und im beruflichen UmfeldElectromagnetic Interference and Cardiac Implantable Electronic DevicesE-Autos vertragen sich mit SchrittmachernElektroautos sind keine Gefahr für Schrittmacher- und Defi-Träger 4 September 2018Volume 169, Issue 5Page: 350-352KeywordsCardiovascular implantable electronic devicesDisclosureElectrocardiographyElectrophysiological techniquesHeart failureImplantable cardioverter defibrillatorsPacemakersSafetyShockTachycardia ePublished: 24 April 2018 Issue Published: 4 September 2018 Copyright & PermissionsCopyright © 2018 by American College of Physicians. 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