Fendt A, Strauß M, Kouraki K, Zahn R, Kleemann T
Medizinische Klinik B, Klinikum Ludwigshafen, Bremserstraße 79, 67063, Ludwigshafen, Deutschland.
Herz. 2018 Nov;43(7):612-616. doi: 10.1007/s00059-018-4750-y.
The number of cardiac pacemaker wearers is continuously increasing in Germany as well as worldwide. The probability of indications for a magnetic resonance imaging (MRI) examination during the lifetime is approximately 50-75% for every person. An MRI examination is nowadays possible for pacemaker wearers under certain conditions. Due to the technical developments during the last 10 years certain MRI-conditional pacemakers are available. The recommendations of the German and American medical specialist societies currently allow an MRI examination in patients with conventional pacemakers beyond the approval conditions (off-label use) under prespecified conditions, based on the study data. This article summarizes the information on conditions of use and reprogramming strategies as well as on the study situation for the clinical routine.
在德国以及全球范围内，心脏起搏器佩戴者的数量都在持续增加。每个人一生中进行磁共振成像（MRI）检查的指征概率约为50%-75%。如今，在某些条件下，起搏器佩戴者可以进行MRI检查。由于过去10年的技术发展，现已出现某些符合MRI条件的起搏器。根据研究数据，德国和美国医学专家协会目前的建议允许在预先规定的条件下，对传统起搏器患者进行超出批准条件（标签外使用）的MRI检查。本文总结了使用条件、重新编程策略以及临床常规研究情况的相关信息。
