Functional Disorders of Heart Stimulating Systems in Patients Treated with Radiation Therapy ? Own Experiences
International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
www.ijsr.net | Open Access | Fully Refereed | Peer Reviewed International Journal

ISSN: 2319-7064

Research Paper | Medicine Science | Poland | Volume 4 Issue 12, December 2015

Functional Disorders of Heart Stimulating Systems in Patients Treated with Radiation Therapy ? Own Experiences

Ewa Zikowska, Tomasz Winiewski, Mieszko Biaas

Objectives To analyze our experiences in irradiation of patients with implanted pacemakers and to draft guidelines regarding the therapy with ionizing radiation in this group. Methods We developed an algorithm of management of patients with implanted heart stimulator who were qualified to radiotherapy. These rules were applied to 50 patients treated at our center in 2009-2012. Results A total of 55 radiation therapy procedures were performed amongst 50 studied patients, including 31 (56 %) radical radiotherapies and 24 (44 %) palliative radiotherapies. The majority of heart stimulating systems in our group were pacemakers (47 radiation therapy procedures, 85 %), seven (13 %) patients were implanted with cardioverter-defibrillator, and one (2 %) had cardiac resynchronization device. In the majority of cases, the heart stimulating system was located outside the irradiated area (23 procedures, 42 %). However, the stimulator was placed in the therapeutic area in 10 (18 %) patients, and one of them required displacement of the device to the right infraclavicular area. In another 22 individuals (40 %) the stimulator was implanted in close proximity to the irradiated area. Mean dose received by a pulse generator was equal to 1.43 Gy (range 0-3 Gy). Only three patients (5.5 %) showed transient irradiation-related functional defects of heart stimulating system. Conclusions Irradiation of patients with heart stimulator is rarely associated with the functional disorders of the stimulating system. The presence of heart stimulating system does not constitute an absolute contraindication to radiation therapy. There is a need of tight cooperation between radiotherapist and cardiologist in the course of radiotherapeutic process.

Keywords: radiation therapy, stimulator, cardioverter-defibrillator

Edition: Volume 4 Issue 12, December 2015

Pages: 1140 - 1144

Share this Article

How to Cite this Article?

Ewa Zikowska, Tomasz Winiewski, Mieszko Biaas, "Functional Disorders of Heart Stimulating Systems in Patients Treated with Radiation Therapy ? Own Experiences", International Journal of Science and Research (IJSR), https://www.ijsr.net/search_index_results_paperid.php?id=NOV152077, Volume 4 Issue 12, December 2015, 1140 - 1144

85 PDF Views | 57 PDF Downloads

Download Article PDF



Similar Articles with Keyword 'radiation therapy'

Research Paper, Medicine Science, Poland, Volume 4 Issue 12, December 2015

Pages: 1140 - 1144

Functional Disorders of Heart Stimulating Systems in Patients Treated with Radiation Therapy ? Own Experiences

Ewa Zikowska, Tomasz Winiewski, Mieszko Biaas

Share this Article

Research Paper, Medicine Science, Sudan, Volume 4 Issue 1, January 2015

Pages: 2536 - 2541

Outfield Dose Calculation in Treatment of Breast Cancer Using Radiotherapy TPs

Abdoelrahman Hassan A. B, Mohamed Elfadil M. Gar-elnabi, Yousif Mohamed Y. Abdallah, Omer A. Omer

Share this Article

Research Paper, Medicine Science, South Africa, Volume 6 Issue 7, July 2017

Pages: 1368 - 1372

Dosimetric Characteristic of Enhanced Dynamic Wedges used in Radiation Therapy

M. E. Sithole

Share this Article

Research Paper, Medicine Science, India, Volume 3 Issue 3, March 2014

Pages: 14 - 18

Quality of Life (QOL) of Women with Radiation Therapy

Seema Satwe, Jyoti Salunkhe, Vandana Satave

Share this Article

Doctoral Candidate, Medicine Science, Sudan, Volume 6 Issue 9, September 2017

Pages: 969 - 973

Assessment of Prostate Cancer Radiation Therapy Using PSA Level

Alaa M. Hassan, Mohammed Elfadil, A. H. A. Bakry

Share this Article

Similar Articles with Keyword 'stimulator'

Research Paper, Medicine Science, Poland, Volume 4 Issue 12, December 2015

Pages: 1140 - 1144

Functional Disorders of Heart Stimulating Systems in Patients Treated with Radiation Therapy ? Own Experiences

Ewa Zikowska, Tomasz Winiewski, Mieszko Biaas

Share this Article

Research Paper, Medicine Science, India, Volume 3 Issue 7, July 2014

Pages: 984 - 987

Study of Sensory, Pain Thresholds and Pain Tolerance in Persons with Visual Impairment

Anu Arora, Mansi Joshi

Share this Article

Research Paper, Medicine Science, India, Volume 4 Issue 9, September 2015

Pages: 269 - 271

A Comparative Study of Gap Detection Threshold in Cochlear Implant Users & Normal Hearing Children

Mukesh Sharma, Anil Kumar Yadav

Share this Article

Comparative Studies, Medicine Science, India, Volume 7 Issue 5, May 2018

Pages: 1253 - 1256

A Comparative Study of Anaesthetic Properties of Ropivacaine alone and in Combination with Clonidine for Supraclavicular Brachial Plexus Block in Patients Undergoing Upper Limb Surgeries

Dr. Rajendra Prasad, Dr. Shriphal Meena, Dr. Nitin Agarwal, Dr. Vishnu Dutta, Dr. Amit Kumar

Share this Article
Top