{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T07:30:36Z","timestamp":1773473436435,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,5,21]],"date-time":"2021-05-21T00:00:00Z","timestamp":1621555200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Many advanced heart failure patients have both a left ventricular assist device (LVAD) and an implantable cardioverter\u2010defibrillator (ICD). This study examines incidence, clinical impact, and management of LVAD\u2010related EMI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a three\u2010center retrospective analysis of transvenous ICD implanted patients with LVAD implanted between January 1, 2005 and December 31, 2020. The primary outcome was EMI after LVAD implantation, categorized as LVAD\u2010related noise or telemetry interference.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The rate of LVAD\u2010related EMI among the 737 patients (mean age 58.6 \u00b1 12.8 years) studied was 5.0%. Telemetry interference (1.5%) compromised ICD interrogation in all patients. This was resolved successfully with use of a metal shield, encased wand, radiofrequency tower, different ICD programmer or by increasing distance between ICD programmer and LVAD (<jats:italic>n<\/jats:italic>\u00a0=\u00a06). ICD replacement was required to reestablish successful communication in three patients. LVAD\u2010related noise (3.5%) led to oversensing (<jats:italic>n<\/jats:italic>\u00a0=\u00a04), inappropriate mode switches (<jats:italic>n<\/jats:italic>\u00a0=\u00a04), noise reversion (<jats:italic>n<\/jats:italic>\u00a0=\u00a03), inhibition of pacing (<jats:italic>n<\/jats:italic>\u00a0=\u00a02), inappropriate detection as atrial fibrillation (AF) (n\u00a0=\u00a02) and inappropriate detection as ventricular tachycardia (VT) and\/or ventricular fibrillation (VF) (<jats:italic>n<\/jats:italic>\u00a0=\u00a02). This noise interference persisted (<jats:italic>n<\/jats:italic>\u00a0=\u00a03), resolved spontaneously (<jats:italic>n<\/jats:italic>\u00a0=\u00a016), resolved with programming change (<jats:italic>n<\/jats:italic>\u00a0=\u00a06) or required lead revision (<jats:italic>n<\/jats:italic>\u00a0=\u00a01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>EMI from LVAD impacts ICD function, although, the incidence rate is low. Physicians implanting both, LVAD in patients with ICD (more common) or ICD in patients with LVAD, should be aware of possible interferences. Telemetry failure not resolved by metal shielding was overcome by ICD generator replacement to a different manufacturer. In most cases, LVAD\u2010related noise resolves spontaneously.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pace.14265","type":"journal-article","created":{"date-parts":[[2021,5,12]],"date-time":"2021-05-12T03:54:09Z","timestamp":1620791649000},"page":"1163-1175","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Electromagnetic interference from left ventricular assist device in patients with transvenous implantable cardioverter\u2010defibrillator"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4205-4969","authenticated-orcid":false,"given":"Banveet Kaur","family":"Khetarpal","sequence":"first","affiliation":[{"name":"Internal Medicine Department University of Nevada  Las Vegas Nevada USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2823-9243","authenticated-orcid":false,"given":"Justin Z.","family":"Lee","sequence":"additional","affiliation":[{"name":"Cardiovascular Division Mayo Clinic Rochester  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Awad I.","family":"Javaid","sequence":"additional","affiliation":[{"name":"Internal Medicine Department University of Nevada  Las Vegas Nevada USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lanyu","family":"Mi","sequence":"additional","affiliation":[{"name":"Cardiovascular Division Mayo Clinic Arizona  Phoenix Arizona USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nithin Rao","family":"Venepally","sequence":"additional","affiliation":[{"name":"Internal Medicine Department Texas Tech University Health Science Center  Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bharat","family":"Narasimhan","sequence":"additional","affiliation":[{"name":"Internal Medicine Department Icahn School of Medicine at Mount Sinai  New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian W.","family":"Hardaway","sequence":"additional","affiliation":[{"name":"Cardiovascular Division Mayo Clinic Arizona  Phoenix Arizona USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5897-9464","authenticated-orcid":false,"given":"Yong\u2010Mei","family":"Cha","sequence":"additional","affiliation":[{"name":"Cardiovascular Division Mayo Clinic Rochester  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8300-6277","authenticated-orcid":false,"given":"Fred","family":"Kusumoto","sequence":"additional","affiliation":[{"name":"Cardiovascular Division Mayo Clinic Florida  Jacksonville Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siva K.","family":"Mulpuru","sequence":"additional","affiliation":[{"name":"Cardiovascular Division Mayo Clinic Rochester  Rochester Minnesota 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