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Performing Cardiac Magnetic Resonance Imaging in Patients With Cardiac Implantable Electronic Devices: A Contemporary Review
- Source :
- The Canadian journal of cardiology. 34(12)
- Publication Year :
- 2018
-
Abstract
- There are expanding indications for cardiac magnetic resonance imaging (CMR) in patients with cardiac implantable electronic devices (CIEDs). The presence of a CIED had been regarded as a contraindication to CMR due to concerns of arrhythmias, significant changes to lead parameters, and detrimental changes to device programming. The risk of these potential adverse events is theoretically higher in patients undergoing CMR as compared with other anatomic sites. Recent studies have observed low rates of adverse events in patients undergoing CMR (< 1% to 2%), prompting a shift in the recommendations on CMR in patients with CIEDs. The 2017 Heart Rhythm Society Expert Consensus Statement now states that CMR can be performed in patients with both conditional and nonconditional CIEDs at a magnetic strength of 1.5 T, provided there are no fractured, abandoned, or epicardial leads and modifications to MRI parameters are made. The purpose of this review is to (a) outline the potential concerns of performing CMR in patients with CIEDs, (b) define categories of CIEDs as they pertain to MRI safety, (c) summarize the emerging data on adverse events, and (d) provide a practical approach, integrating the key modifications required to perform CMR in patients with CIEDs.
- Subjects :
- medicine.medical_specialty
Pacemaker, Artificial
Consensus Development Conferences as Topic
030204 cardiovascular system & hematology
030218 nuclear medicine & medical imaging
03 medical and health sciences
0302 clinical medicine
Cardiac magnetic resonance imaging
Internal medicine
Medicine
Humans
In patient
cardiovascular diseases
Contraindication
medicine.diagnostic_test
business.industry
Contraindications
Expert consensus
musculoskeletal system
Magnetic Resonance Imaging
Defibrillators, Implantable
Heart Rhythm
cardiovascular system
Cardiology
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 19167075
- Volume :
- 34
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- The Canadian journal of cardiology
- Accession number :
- edsair.doi.dedup.....78283ab5513c5d362ee5b1661cd09a6e