How do I avoid electrical interference with my pacemaker or ICD (implantable cardioverter-defibrillator)?

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How do I avoid electrical interference with my pacemaker or ICD (implantable cardioverter-defibrillator)?

Pacemakers and ICDs (implantable cardioverter-defibrillators) work by monitoring the electrical activity of your heart. These devices contain sensitive electronics and a small computer. They can be affected by strong magnetic or electrical fields.

Most electrical equipment and household appliances create very weak magnetic fields and do not interfere with pacemakers or ICDs. But if you have a pacemaker or ICD and are exposed to a strong magnetic or electrical field, the pacemaker or ICD may malfunction, be reprogrammed, or be turned off completely. This may prevent it from pacing or shocking the heart when needed or may cause it to pace or shock the heart inappropriately.

With some pacemakers, these effects occur only while you are exposed to the magnetic field. Other pacemakers may be more permanently altered and require reprogramming by a cardiologist.

Should I avoid sources of magnetic or electrical fields?

You can safely use most household and office equipment. But you can usually avoid electrical interference from magnetic or electrical sources by keeping certain things a few inches away from your pacemaker or ICD. You should completely avoid things like heavy electrical or industrial equipment.

The table below lists electrical and magnetic sources that are safe and sources that you should avoid. This table does not list all magnetic or electrical sources that you might use. Ask your doctor about the safety of sources not listed here.

**Safe and unsafe electrical or magnetic sources**
Sources that are SAFE to use	Sources to AVOID
Entertainment AM/FM radios Televisions, video cassette recorders (VCRs), CD players, DVD players, and their remote controls Household Motor vehicles (unless your doctor has restricted your driving) Bathroom appliances (such as electric razors, curling irons, hair dryers) Conventional ovens Electric tools (such as drills, table saws) Garage door openers Heating pads, electric blankets Kitchen appliances (such astoasters, blenders, electric can openers, refrigerators) Lawn and garden equipment (such as mowers, leaf blowers) Microwave ovens Phones (landline phones including cordless models.) Washing machines and dryers Medical and dental Dental procedures Most medical tests (X-ray, CT scan, mammogram) Office Computers Copy machines Fax machines Printers	Keep at least away from your pacemaker or ICD: Cellular phones MP3 players (such as iPods) Keep at least away from your pacemaker or ICD: Arc welders Battery-powered cordless power tools Industrial power generators Magnets Magnetic wands used at airports Stereo speakers Avoid completely: CB or ham radios High-voltage power lines [keep at least away]. Large magnets MRI machines Radio transmitters (including those used in toys)

How can I use a cell phone safely?

To safely use a cell phone, keep the phone at least away from the pacemaker or ICD. Hold the phone against the ear opposite the side that your pacemaker or ICD is on. Do not carry a cell phone in a breast pocket or hooked to the belt on the same side of your body that the pacemaker or ICD is on. Cell phones can affect a pacemaker or ICD, because these phones send electrical signals at a fairly high energy. These signals can interfere with some devices, especially if the phone is placed very close to it.

How do I go through metal detectors?

You may walk through metal detectors (in airports or other security checkpoints) at a normal speed, but avoid standing near or leaning on these systems. Your pacemaker or ICD may set off a metal detector, but the security archways will not damage the device. Your doctor will give you a pacemaker or ICD identification card to carry at all times. Before you pass through a metal detector, tell the security guards that you have a pacemaker or ICD, and show them your device identification card.

If you must be searched, ask the security guard for a hand search. The handheld security wand contains a strong magnet and should not be used. But if the handheld wand must be used, the search should be done quickly, and the wand should not be held over the pacemaker or ICD. The security guard should keep the wand at least away from the pacemaker or ICD.

Credits

Author	Robin Parks, MS
Editor	Kathleen M. Ariss, MS
Associate Editor	Pat Truman
Primary Medical Reviewer	Adam Husney, MD - Family Medicine
Primary Medical Reviewer	E. Gregory Thompson, MD - Internal Medicine
Specialist Medical Reviewer	Laurence Epstein, MD - Cardiac Electrophysiologist
Last Updated	July 7, 2007

Last updated:	July 07, 2007
Author:	Robin Parks, MS
Reviewed By:	E. Gregory Thompson, MD - Internal Medicine, Laurence Epstein, MD - Cardiac Electrophysiologist
Editors:	Kathleen M. Ariss, MS, Pat Truman

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