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Presse Med. 2012 Jul;41(7-8):736-44. doi: 10.1016/j.lpm.2011.09.025. Epub 2011 Dec 3.

[Practical questions around individual with a pacemaker or an implantable cardioverter defibrillator].

[Article in French]

Author information

1
CHU d'Amiens-Picardie, service de médecine légale et sociale, Amiens cedex 1, France. manaouil.cecile@chu-amiens.fr

Abstract

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?

PMID:
22138293
DOI:
10.1016/j.lpm.2011.09.025
[Indexed for MEDLINE]

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