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植入式心脏复律除颤器(ICD)特定患者的磁共振成像(MRI)结果。

Outcome of magnetic resonance imaging (MRI) in selected patients with implantable cardioverter defibrillators (ICDs).

作者信息

Gimbel J Rod, Kanal Emanuel, Schwartz Kerry M, Wilkoff Bruce L

机构信息

Park West Hospital, 9330 Park West Boulevard, Ste. 202, Knoxville, TN 37923, USA.

出版信息

Pacing Clin Electrophysiol. 2005 Apr;28(4):270-3. doi: 10.1111/j.1540-8159.2005.09520.x.

DOI:10.1111/j.1540-8159.2005.09520.x
PMID:15826257
Abstract

OBJECTIVE

To determine if simple strategies used to safely scan pacemaker patients could be applied to implantable cardioverter defibrillator (ICD), patients undergoing MRI allowing ICD patients to undergo MRI as well.

INTERVENTIONS

Screening, reprogramming, and monitoring strategies were used to facilitate MRI.

RESULTS

Seven patients underwent eight MRI scans at 1.5 T. Post-MRI, all devices demonstrated no change in pacing, sensing, impedances, charge times, or battery status. The patient undergoing a lumbar spine scan experienced a "power-on-reset" of his ICD without permanent impairment of his device.

CONCLUSION

Scanning of ICD patients might be performed if appropriate reprogramming and monitoring is implemented.

摘要

目的

确定用于安全扫描起搏器患者的简单策略是否可应用于植入式心律转复除颤器(ICD)患者,以使ICD患者也能接受MRI检查。

干预措施

采用筛查、重新编程和监测策略以促进MRI检查。

结果

7例患者在1.5T磁场下接受了8次MRI扫描。MRI检查后,所有设备的起搏、感知、阻抗、充电时间或电池状态均无变化。接受腰椎扫描的患者其ICD经历了“开机复位”,但设备未受到永久性损害。

结论

如果实施适当的重新编程和监测,ICD患者可能可以进行扫描。

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