Presentation Abstract

Session: APS.52.2-Treatment of Arrhythmias: ICD/Pacemaker---Excluding CRT I
Sunday, Nov 09, 2008, 9:00 AM - 5:00 PM
Presentation: 662 - Electromagnetic Interference (EMI) of Implanted Cardiac Devices by MP3 Player Headphones
Location: Hall A-B1, Poster Board: C67
Pres. Time: Sunday, Nov 09, 2008, 9:30 AM -11:00 AM
Specialty: +52 - Treatment of Arrhythmias: ICD/Pacemaker - excluding CRT (CLCD)
Keywords: Implantable cardioconvert defibrillator; Pacemakers; Device
Authors: Sinjin Lee, Beth Israel Deaconess Medical Ctr, Boston, MA; Benjamin Ransford, Kevin Fu, Univ of Massachusetts, Amherst, MA; Kohno Tadayoshi, Univ of Washington, Seattle, WA; William H Maisel, Beth Israel Deaconess Medical Ctr, Boston, MA
Abstract: Background: Potential MP3 player (iPod) interactions with pacemakers (PM) and implantable defibrillators (ICD) have received much attention. Yet, little is known about the effects of MP3 player headphones, most of which contain the magnetic substance, neodymium. A magnetic field strength of ≥ 5-10 gauss at the PM or ICD has the potential to interact with the device. Methods: PM or ICD function was assessed in 60 pts during exposure to various headphones and iPods. Pts were monitored continuously via ECG and the device programmer. Abnormal device behavior was defined as oversensing, undersensing, inappropriate pacing, and reprogramming. Headphone magnetic field strength was also measured in vitro. Results: No significant EMI from MP3 players was noted. However, device interference by headphones was documented in 14/60 (23%) pts (TABLE). Inappropriate (asynchronous) pacing was observed in 4/27 (15%) PM pts while inhibition of ICD detection occurred in 10/33 (30%) ICD pts. One PM pt experienced device reprogramming (1/27, 4%). Headphones with a measured magnetic field strength of >10 gauss at 2 cm were more likely to interact than those with lower magnetic strength (17/60, 28% vs. 1/60, 2%, P<0.0001). EMI was not observed when headphones were placed >3 cm from the skin surface. Conclusion: Clinically significant EMI can occur when headphones are placed in close proximity to implanted PMs and ICDs. In vitro measurements of headphone magnetic strength at 2 cm accurately predict clinical interaction with implanted devices. The magnetic strength of headphones varies depending on the model and design. Device pts should be advised to keep headphones at least 3 cm from their device.
MP3 Player Headphone Clinical Interactions with PM-ICD
BrandModel/
Type
Magnetic
Field
Strength
(gauss)*
Clinical Interactions
PM (n=27)ICD (n=33)Total (n=60)
SonyMDR-Q22LP
(clip-on)
204 (15%)10 (30%)14 (23%)
PhillipsSBC HS430
(clip-on)
102 (7%)1 (3%)3 (5%)
PhillipsSHE5920
(in ear)
4000
BoseIn ear4000
SonyMDR-E828LP
(in ear)
3000
JVCHA-F130-A
(in ear)
201 (3%)1 (2%)
AppleIn ear2000
JVCHA-FX33-A
(in ear)
0000
Total4 (15%)10 (30%)14 (23%)
* At 2 cm from Gaussmeter
Disclosures:  S. Lee, None; B. Ransford, None; K. Fu, None; K. Tadayoshi, None; W.H. Maisel, None.



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