“...we swiped the activated hand- held metal detector on the skin above the cardiac rhythm device...”


and hand-held metal detectors tested. We cannot exclude the fact that interference could occur in airports, or other security settings, where multiple electronic devices are emitting electromagnetic radiation simultaneously.


Conclusions Our results suggest that using hand-held metal detectors in short security screening processes in people with pacemakers and cardioverter-defibrillators seems to be safe.


Clemens Jilek is a specialist in Internal Medicine and Cardiology and an expert in clinical electrophysiology at the German Heart Center Munich. Stelios Tzeis is Consultant Electrophysiologist at the Henry Dunant Hospital Athens and Fellow of the European Society of Cardiology. Christof Kolb is Head of the Cardiac Pacing Unit in the German Heart Center Munich and has a long experience in the field of device development and interference research. E-mail: research@jilek.de


Address for correspondence: Dr. med. Clemens Jilek, Deutsches Herzzentrum München, Elektrophysiologie, Lazarettstr. 36, 80636 München, Germany Phone: +49-89-1218-2020 Fax: +49-89-1218-4593


References 1. Trigano A, Blandeau O, Dale C, Wong MF, Wiart J. Reliability of electromagnetic


filters of cardiac pacemakers tested by cellular telephone ringing. Heart Rhythm. 2005;2(8):837–41.


2. Mugica J, Henry L, Podeur H. Study of interactions between permanent pacemakers and electronic antitheft surveillance systems. Pacing Clin Electrophysiol. 2000;23(3):333–7.


3. Santucci PA, Haw J, Trohman RG, Pinski SL. Interference with an implant- able defibrillator by an electronic antitheft-surveillance device. N Engl J Med. 1998;339(19):1371–4.


4. Kolb C, Schmieder S, Lehmann G, Zrenner B, Karch MR, Plewan A, et al. Do airport metal detectors interfere with implantable pacemakers or cardioverter-defibrillators? J Am Coll Cardiol. 2003;41(11):2054–9.


5. Burlington B. Important Information on Anti-Theft and Metal Detector Systems and Pacemakers, ICDs, and Spinal Cord Stimulators. September 1998, last updated 02/11/2011. Availabe at http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ PublicHealthNotifications/ucm062288.htm. Accessed November 23, 2011.


6. 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(9):587-92.


7. Copperman Y, Zarfati D, Laniado S. The effect of metal detector gates on implant- ed permanent pacemakers. Pacing Clin Electrophysiol. 1988;11(10):1386-7.


8. The European Society of Cardiology Guidelines for the diagnosis and management of syncope reviewed by Angel Moya, MD, FESC, Chair of the Guideline Taskforce with J. Taylor, MPhil. Eur Heart J. 2009;30(21):2539-40.


* The full version of this article was originally published in Annals of Internal Medicine, 1st November 2011 with the title: “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(9):587-92) The original article may be accessed at http://www.annals.org/content/155/9/587. abstract?sid=9af5fea3-99b2-40c2-a7f7-48fcc8e9dd65


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