Patients implant茅s d鈥檜n stimulateur cardiaque聽: questions pratiques

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• 作者：Cé ; cile Manaouil¹ ; ² ; ^{manaouil.cecile@chu-amiens.fr} ; Sophie Fantoni³ ; Dominique Montpellier⁴ ; Eric Tordjman⁵ ; Olivier Jarde¹ ; ²
• 刊名：La Presse M¨|dicale
• 出版年：2012
• 期刊代码：pca289_07554982
• 类别：med
• 出版时间：July-August, 2012
• 卷：41
• 期：7-8
• 页码：736-744
• 文件大小：223 K

摘要

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Key points

An individual with a pacemaker can ask his GP for information about potential problems associated with the device.

Should a pacemaker continue to be used by end-of-life patients? Should a pacemaker be stopped in a limited care situation?

What precautions should be taken when treating a patient with a pacemaker? Pacemakers and implantable defibrillators are sensitive to electromagnetic interference (EMI). Medically, MRIs are theoretically contraindicated, even though examinations could be performed without a major problem, and special precautions should be taken when using an electrosurgical cutter or radiotherapy.

In case of death, a doctor or embalmer must remove the patient's pacemaker due to its risk of explosion during cremation. Doctors who sign cremation forms have a legal obligation to provide such information.

It may affect an employee's ability to work. Are there some professions that are not well suited for individuals with a pacemaker?