MRI for patients with cardiac implantable electrical devices

Grant V. Chow; Saman Nazarian

doi:10.1016/j.ccl.2013.12.002

MRI for patients with cardiac implantable electrical devices

Grant V. Chow, Saman Nazarian

Research output: Contribution to journal › Review article › peer-review

15 Scopus citations

Abstract

MRI has become an invaluable tool in the evaluation of soft tissue and bony abnormalities. The presence of a cardiac implantable electrical device (CIED) may complicate matters, however, because these devices are considered a contraindication to MRI scanning. When MRI is performed in patients with a CIED, risks include reed switch activation in older devices, lead heating, system malfunction, and significant radiofrequency noise resulting in inappropriate inhibition of demand pacing, tachycardia therapies, or programming changes. This report reviews indications and risk-benefit evaluation of MRI in patients with CIED and provides a clinical algorithm for performing MRI in patients with implanted devices.

Original language	English (US)
Pages (from-to)	299-304
Number of pages	6
Journal	Cardiology clinics
Volume	32
Issue number	2
DOIs	https://doi.org/10.1016/j.ccl.2013.12.002
State	Published - May 2014
Externally published	Yes

Keywords

Cardiac implantable electrical device
Defibrillator
MRI
Pacemaker

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1016/j.ccl.2013.12.002

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title = "MRI for patients with cardiac implantable electrical devices",

abstract = "MRI has become an invaluable tool in the evaluation of soft tissue and bony abnormalities. The presence of a cardiac implantable electrical device (CIED) may complicate matters, however, because these devices are considered a contraindication to MRI scanning. When MRI is performed in patients with a CIED, risks include reed switch activation in older devices, lead heating, system malfunction, and significant radiofrequency noise resulting in inappropriate inhibition of demand pacing, tachycardia therapies, or programming changes. This report reviews indications and risk-benefit evaluation of MRI in patients with CIED and provides a clinical algorithm for performing MRI in patients with implanted devices.",

keywords = "Cardiac implantable electrical device, Defibrillator, MRI, Pacemaker",

author = "Chow, {Grant V.} and Saman Nazarian",

note = "Funding Information: Disclosures and Financial Support: Dr S. Nazarian is a scientific advisor to and principal investigator for research support to Johns Hopkins from Biosense Webster Inc . Dr S. Nazarian is also funded by NIH grants K23HL089333 and R01HL116280 . ",

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AU - Chow, Grant V.

AU - Nazarian, Saman

N1 - Funding Information: Disclosures and Financial Support: Dr S. Nazarian is a scientific advisor to and principal investigator for research support to Johns Hopkins from Biosense Webster Inc . Dr S. Nazarian is also funded by NIH grants K23HL089333 and R01HL116280 .

PY - 2014/5

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N2 - MRI has become an invaluable tool in the evaluation of soft tissue and bony abnormalities. The presence of a cardiac implantable electrical device (CIED) may complicate matters, however, because these devices are considered a contraindication to MRI scanning. When MRI is performed in patients with a CIED, risks include reed switch activation in older devices, lead heating, system malfunction, and significant radiofrequency noise resulting in inappropriate inhibition of demand pacing, tachycardia therapies, or programming changes. This report reviews indications and risk-benefit evaluation of MRI in patients with CIED and provides a clinical algorithm for performing MRI in patients with implanted devices.

AB - MRI has become an invaluable tool in the evaluation of soft tissue and bony abnormalities. The presence of a cardiac implantable electrical device (CIED) may complicate matters, however, because these devices are considered a contraindication to MRI scanning. When MRI is performed in patients with a CIED, risks include reed switch activation in older devices, lead heating, system malfunction, and significant radiofrequency noise resulting in inappropriate inhibition of demand pacing, tachycardia therapies, or programming changes. This report reviews indications and risk-benefit evaluation of MRI in patients with CIED and provides a clinical algorithm for performing MRI in patients with implanted devices.

KW - Cardiac implantable electrical device

KW - Defibrillator

KW - MRI

KW - Pacemaker

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MRI for patients with cardiac implantable electrical devices

Abstract

Keywords

ASJC Scopus subject areas

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