Electric Cars and Electromagnetic Interference With Cardiac Implantable Electronic Devices: A Cross-sectional Evaluation
Authors: Carsten Lennerz, Matthew O'Connor, Lorenz Horlbeck, Jonathan Michel, Severin Weigand, Christian Grebmer, Patrick Blazek, Amir Brkic, Verena Semmler, Bernhard Haller, Tilko Reents, Gabriele Hessling, Isabel Deisenhofer, Peter Whittaker, Markus Lienkamp, Christof Kolb
Journal: Annals of Internal Medicine (2018)

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. 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[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? 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