Planning radiotherapy for patients with a cardiac stimulating system


radiation damage

How to Cite

Jakrzewska, W. (2024). Planning radiotherapy for patients with a cardiac stimulating system. Letters in Oncology Science, 21(1). Retrieved from


The increase in the survival curve of cancer patients and more and the improvement of diagnostic methods have contributed to an increase in the number of patients with pacemakers who are undergoing radiotherapeutic treatment. There are many risk factors, but having an electronic heart stimulation system should not be a contraindication to treatment. Planning such treatment is quite a challenge, because ionizing radiation is not neutral to this type of devices. Medical physicists and radiotherapists should apply the ALARA (As Low As Reasonably Achievale) when planning radiotherapy. A number of guidelines have been developed that should be followed to reduce the risk of damage to the stimulator.



Miften, Moyed, et al. "Management of radiotherapy patients with implanted cardiac pacemakers and defibrillators: a report of the AAPM TG‐203." Medical physics 46.12 (2019): e757-e788.

E. Ziółkowska, T. Wiśniewski, M. Zarzycka, A. Meller, A. Woźniak-Wiśniewska, „Zastosowanie radioterapii u chorych ze stymulatorem serca Część I. Budowa i zastosowanie stymulatorów serca”, Współczesna Onkologia (2008) vol. 12; 9 (395–399)

W. Jakrzewska, P. Czajkowski, „Oszacowanie dawek pochłoniętych przez układy stymulujące pracę serca podczas radioterapii sterowanej obrazem.”, Inżynier Fizyk Medyczny (2023) vol. 23; (45-48)

Last, A. "Radiotherapy in patients with cardiac pacemakers." The British journal of radiology 71.841 (1998): 4-10.

Marbach, J. R., et al. "Management of radiation oncology patients with implanted cardiac pacemakers: Report of AAPM Task Group No. 34." Medical physics 21.1 (1994): 85-90.

Tajstra, Mateusz, et al. "Chorzy z implantowanym urządzeniem do elektroterapii serca poddawani radioterapii w warunkach polskich." Kardiologia Polska (Polish Heart Journal) 77.III (2019): 82-89.

Ilangovan, Bhargavi, et al. "Radiotherapy for patients with cardiovascular implantable electronic device-a single institutional experience." IHJ Cardiovascular Case Reports (CVCR) 6.1 (2022): 16-20.

Sundar, S., R. P. Symonds, and C. Deehan. "Radiotherapy to patients with artificial cardiac pacemakers." Cancer treatment reviews 31.6 (2005): 474-486.

Solan, Amy N., et al. "Treatment of patients with cardiac pacemakers and implantable cardioverter-defibrillators during radiotherapy." International Journal of Radiation Oncology Biology Physics 59.3 (2004): 897-904.

Soejima, Toshinori, et al. "Radiation therapy in patients with implanted cardiac pacemakers and implantable cardioverter defibrillators: a prospective survey in Japan." Journal of radiation research (2011) 52: 516–521

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