ICD EMI and Travel Advice — EECC MCQ
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Correct answer: B — Walk through airport metal detectors at a normal pace (brief exposure is safe); hand-held security wands should not be held over the device; carry a device identification card; most household appliances are safe; avoid strong magnetic fields (MRI without protocol, arc welding, large industrial motors)
EMI guidance for ICD/pacemaker patients per ESC/EHRA consensus: (1) AIRPORT SECURITY: walk-through metal detectors — pass through at normal pace (brief exposure <15 seconds); body scanners (millimetre wave) — safe; hand-held wands — should NOT be held directly over the device; carry device ID card for security personnel; (2) MOBILE PHONES: safe at >15 cm from device (use contralateral ear, keep in contralateral pocket); (3) HOUSEHOLD: microwave ovens, power tools, electric blankets — all safe; (4) AVOID: MRI (unless MRI-conditional with appropriate protocol), arc/spot welding, chainsaw use directly over chest, strong magnets, high-voltage power lines (prolonged close exposure), diathermy (surgical cautery — bipolar preferred, discuss with surgeon); (5) DRIVING: follow national regulations (UK DVLA rules). These precautions apply to all CIEDs (pacemakers, ICDs, CRT). Modern devices have improved EMI shielding compared with older generators.
Reference: ESC (2021): Pacing; EHRA EMI Guidance