Influence and safety of electronic apex locators in patients with cardiovascular implantable electronic devices: a systematic review.

IF 1.8 4区医学 Q2 MEDICINE, GENERAL & INTERNAL Libyan Journal of Medicine Pub Date : 2019-12-01 DOI:10.1080/19932820.2018.1547071

Mothanna K AlRahabi, Hani M Ghabbani

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Abstract

The widespread use of cardiovascular implantable electronic devices has increased concerns regarding using electronic apex locators in patients with these devices. This systematic review investigated the effects and safety of using electronic apex locators in patients with cardiovascular implantable electronic devices.

Methods: An electronic search in the Cochrane Library, PubMed (MEDLINE), ScienceDirect, and Scientific Electronic Library Online (Scielo) databases for relevant articles published between December 2000 and December 2018 was performed. The search strategy centered on terms related to electronic apex locators use during root canal treatment in patients with cardiovascular implantable electronic devices.

Results: Seven studies (five in vitro and two in vivo) fulfilled the inclusion criteria for this review. It was found that electronic apex locators can be used safely in patients with cardiovascular implantable electronic devices, when general precautions are followed.

Conclusions: Although the present review suggests that electronic apex locators can be used safely in patients with implantable cardioverter defibrillators, consultation with patients' cardiologists remains advisable.

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电子心尖定位器对心血管植入式电子设备患者的影响和安全性：系统综述。

心血管植入式电子设备的广泛使用增加了人们对在使用这些设备的患者中使用电子心尖定位器的担忧。本系统性综述调查了心血管植入式电子设备患者使用电子心尖定位器的效果和安全性：在 Cochrane Library、PubMed (MEDLINE)、ScienceDirect 和 Scientific Electronic Library Online (Scielo) 等数据库中对 2000 年 12 月至 2018 年 12 月间发表的相关文章进行了电子检索。检索策略以心血管植入式电子设备患者根管治疗期间使用电子根尖定位器的相关术语为中心：七项研究（五项体外研究和两项体内研究）符合本综述的纳入标准。结果：七项研究（五项体外研究和两项体内研究）符合本综述的纳入标准。研究发现，在遵循一般预防措施的情况下，电子根尖定位器可安全地用于带有心血管植入式电子装置的患者：尽管本综述表明电子心尖定位器可以安全地用于植入式心律转复除颤器的患者，但仍建议与患者的心脏病专家协商。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Libyan Journal of Medicine MEDICINE, GENERAL & INTERNAL-

CiteScore

3.50

自引率

4.20%

发文量

审稿时长

>12 weeks

期刊介绍： Libyan Journal of Medicine (LJM) is a peer-reviewed, Open Access, international medical journal aiming to promote heath and health education by publishing high-quality medical research in the different disciplines of medicine. LJM was founded in 2006 by a group of enthusiastic Libyan medical scientists who looked at the contribution of Libyan publications to the international medical literature and saw that a publication outlet was missing. To fill this gap they launched LJM as a tool for transferring current medical knowledge to and from colleagues in developing countries, particularly African countries, as well as internationally.The journal is still led by a group of Libyan physicians inside and outside Libya, but it also enjoys support and recognition from the international medical community.