Russian Journal of Physiotherapy, Balneology and RehabilitationRussian Journal of Physiotherapy, Balneology and RehabilitationФизиотерапия, бальнеология и реабилитация1681-34562413-2969Eco-Vector6266410.17816/1681-3456-2019-18-3-183-190Обзоры литературыResearch ArticlePossibilities and safety of physiotherapy in patients with implanted cardiac devicesВозможности и безопасность применения физиотерапии у пациентов с имплантированными антиаритмическими устройствами6466-9013IskenderovBakhram G.ИскендеровБахрам Гусейнович
Russian Federation

DSc., Prof.

д.м.н., проф.

ltv-13@mail.ru4671-0100LokhinaTatiana V.ЛохинаТатьяна Викторовна
Russian Federation

DSc.

д.м.н.

ltv-13@mail.ru5642-3066IvanchukovaMarina G.ИванчуковаМарина Геннадьевна
Russian Federation
ltv-13@mail.ruPenza Institute for Advanced Medical Education ― affiliate of Russian Medical Academy of Continuing Professional Education of the Ministry of Health of the Russian FederationПензенский институт усовершенствования врачей ― филиал ФГБОУ ДПО Российская медицинская академия непрерывного профессионального образования Минздрава России150620191831831900403202104032021Copyright ©; 2019, Eco-VectorCopyright ©; 2019, ООО "Эко-Вектор"2019Eco-VectorООО "Эко-Вектор"https://rjpbr.com/1681-3456/article/view/62664

Widespread implantation of cardiac devices, i.e. cardiac pacemakers, cardioverter-defibrillators and cardiac resynchronisation devices improved patients’ survival. It has resulted in increase in number of ageing patients with cardiac devices who need physiotherapeutic treatment due to accompanied comorbidities. Hence the study of the interaction between functions of cardiac devices and physiotherapeutic treatment techniques is particularly relevant. The use and safety of physiotherapeutic treatment techniques producing electromagnetic field which in turn eventually cause harm of the cardiac devices are being discussed in present review article. The possible adverse effects of such interaction are abrupt failure to stimulate or triggering of shock therapy with consequent arrhythmic events including cardiac arrest. The technical characteristics particularly associated with electromagnetic interference are discussed here in detail. The attention is also payed to analysis of possible causes and effects of electromagnetic interference and safety measures as well.

Широкое применение имплантируемых антиаритмических устройств ― электрокардиостимуляторов, кардиовертеров-дефибрилляторов и кардиоресинхронизирующей терапии, способствовало увеличению выживаемости пациентов, и тем самым неуклонному росту этой популяции. С учетом преобладания коморбидных состояний, особенно в пожилом возрасте, у пациентов с имплантируемыми антиаритмическими устройствами возникает потребность в использовании физиотерапевтических методов, что свидетельствует об актуальности данной проблемы. В обзорной статье обсуждаются возможности и безопасность применения различных методов физиотерапии, создающих электромагнитные поля, потенциально способные вызвать электромагнитную интерференцию у пациентов с имплантируемыми антиаритмическими устройствами. Следствием электромагнитной интерференции может стать внезапное прекращение электростимуляции или немотивированный запуск электрошоковой терапии, которое чревато возникновением нарушений сердечного ритма вплоть до внезапной остановки сердца. Особое внимание уделено описанию технических характеристик имплантируемых антиаритмических устройств и методов физиотерапии, представляющих повышенный риск возникновения электромагнитной интерференции, а также анализу причин и последствий электромагнитной интерференции и мер безопасности.

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