Electromagnetic interference from left ventricular assist devices in patients with subcutaneous implantable cardioverter-defibrillators.

Journal of Cardiovascular Electrophysiology
Yuji IshidaMichael R Gold

Abstract

Interactions of left ventricular assist devices (LVADs) with transvenous implantable cardioverter-defibrillator systems (ICDs) have been widely reported. However, less is known regarding the impact of electromagnetic interference (EMI) from LVADs on subcutaneous ICD function. A comprehensive literature search was performed on PubMed, Cochrane central registry, and Google Scholar using the search terms "subcutaneous implantable cardioverter-defibrillator and left ventricular assist devices," "electromagnetic interference, LVAD, and subcutaneous ICD," "EMI and S-ICD," and "inappropriate shocks, LVAD, and ICD." Demographic and programming data were extracted from the reports and authors as needed. A total of seven cases of EMI in LVAD patients with subcutaneous ICD (S-ICD) devices were found. In addition three previously unreported cases from our center were included. All cases involved either a heartware ventricular assist device or HeartMate III LVAD with a pre-existing S-ICD. In all patients, both the primary and secondary vectors had inappropriate sensing due to EMI. Three patients were reprogramed to the alternate vector with appropriate sensing. The S-ICD was either inactivated or replaced with a transvenous device in six pa...Continue Reading

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Citations

Sep 15, 2020·Pacing and Clinical Electrophysiology : PACE·Prabhpreet SinghRaul Weiss
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Oct 6, 2020·Journal of Cardiovascular Electrophysiology·Christos ZormpasDavid Duncker
May 13, 2021·Pacing and Clinical Electrophysiology : PACE·Banveet Kaur KhetarpalKomandoor Srivathsan

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