Implantable Cardiac Devices Are Safely Shielded from Electric Automobiles

I include this article was interesting so I wanted to share it.

Authors: Lennerz C et al. Ann Intern Med 2018 Apr 24.

In 108 individuals exposed to electric vehicles, there was no evidence of interference with the implanted electronic devices.

Electromagnetic interference (EMI) to permanent pacemakers and implantable cardioverter-defibrillators (ICDs) is a concern for patients and physicians alike. Although the risk for interference seems low, the consequences could be dire, especially in pacemaker-dependent patients and patients with ICDs. In the first case, the interference could inhibit pacing, leading to syncope and worse, and in the second case, inappropriate shocks could occur. In a single-center study, patients with pacemakers or ICDs were invited to participate in a study ascertaining whether the maximal electromagnetic-field generation by the electric vehicles would cause inappropriate device behavior or malfunction.

All automobiles were pure electric (hybrid cars were excluded because they have smaller electromagnetic fields). Participants sat in cars undergoing a laboratory protocol of braking and acceleration and then as cars were charged; electrical field strength was also tested on roads. Field strength was highest during charging. None of the devices exhibited EMI at any time and regardless of whether the participant was in or out of the vehicle.

COMMENT

Electromagnetic-field interference with pacemakers or ICDs could lead to serious adverse consequences including failure to pace and inappropriate ICD shocks. Despite this concern, clinical occurrences of EMI are limited to case reports. By far the most common cause of EMI is hospital-based and primarily cautery. Patients and physicians should thus not be concerned about out-of-hospital events and situations but do need to prepare for EMI in the hospital setting.

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