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接受磁共振成像检查的心脏植入式电子设备患者的管理——统一医院协议提案:克罗地亚心律失常与心脏起搏工作组

MANAGEMENT OF PATIENTS WITH CARDIAC IMPLANTABLE ELECTRONIC DEVICES UNDERGOING MAGNETIC RESONANCE IMAGING - PROPOSAL FOR UNIFIED HOSPITAL PROTOCOL: CROATIAN WORKING GROUP ON ARRHYTHMIAS AND CARDIAC PACING.

作者信息

Pavlović Nikola, Đula Kristijan, Kuharić Ivan, Brusich Sandro, Velagić Vedran, Jurišić Zrinka, Bakotić Zoran, Anić Ante, Pezo Nikolić Borka, Radeljić Vjekoslav, Čubranić Zlatko, Zeljković Ivan, Zadravec Dijana, Manola Šime

机构信息

1Department of Cardiology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 2Department of Radiology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 3Department of Cardiology, Rijeka University Hospital Centre, Rijeka, Croatia; 4Department of Cardiology, Zagreb University Hospital Centre, Zagreb, Croatia; 5Department of Cardiology, Split University Hospital Centre, Split, Croatia; 6Department of Cardiology, Zadar General Hospital, Zadar, Croatia.

出版信息

Acta Clin Croat. 2020 Mar;59(1):119-125. doi: 10.20471/acc.2020.59.01.14.

DOI:10.20471/acc.2020.59.01.14
PMID:32724282
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7382882/
Abstract

For many years, magnetic resonance imaging (MRI) was contraindicated in patients with cardiac implantable electronic devices (CIED). Today, there is a growing amount of evidence that MRI can be performed safely in the majority of patients with CIEDs. Firstly, there are devices considered MRI conditional by manufacturers that are available on the market and secondly, there is clear evidence that even patients with MRI non-conditional devices can also undergo MRI safely. Protocols have been developed and recommendations from different cardiac and radiologic societies have been published in recent years. However, the majority of physicians are still reluctant to refer these patients to MRI. Therefore, this document is published as a joint statement of the Croatian Working Group on Arrhythmias and Cardiac Pacing and Department of Radiology, Sestre milosrdnice University Hospital Centre to guide and ease the management of patients with CIED undergoing MRI. Also, we propose a unified protocol and checklist that could be used in Croatian hospitals.

摘要

多年来,心脏植入式电子设备(CIED)患者一直被视为磁共振成像(MRI)的禁忌人群。如今,越来越多的证据表明,大多数CIED患者都能安全地接受MRI检查。首先,市场上已有制造商认定为MRI条件适用的设备;其次,有明确证据显示,即使是使用MRI非条件适用设备的患者也能安全地接受MRI检查。近年来,相关检查方案已经制定,不同心脏及放射学会也发布了相关建议。然而,大多数医生仍然不愿将这些患者转诊去做MRI检查。因此,本文作为克罗地亚心律失常与心脏起搏工作组和斯雷姆斯米尔诺德里采大学医院中心放射科的联合声明发布,旨在指导并简化CIED患者接受MRI检查的管理流程。此外,我们还提出了一个可在克罗地亚医院使用的统一检查方案和清单。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c2e/7382882/33b428391c32/acc-59-119-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c2e/7382882/efa1544e7fef/acc-59-119-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c2e/7382882/33b428391c32/acc-59-119-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c2e/7382882/efa1544e7fef/acc-59-119-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c2e/7382882/33b428391c32/acc-59-119-f2.jpg

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本文引用的文献

1
Performing Cardiac Magnetic Resonance Imaging in Patients With Cardiac Implantable Electronic Devices: A Contemporary Review.在植入式心脏电子设备患者中进行心脏磁共振成像:当代综述。
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7
Assessing the Risks Associated with MRI in Patients with a Pacemaker or Defibrillator.评估起搏器或除颤器患者进行 MRI 检查的相关风险。
N Engl J Med. 2017 Feb 23;376(8):755-764. doi: 10.1056/NEJMoa1603265.
8
Canadian Heart Rhythm Society and Canadian Association of Radiologists consensus statement on magnetic resonance imaging with cardiac implantable electronic devices.加拿大心脏节律学会和加拿大放射学家协会关于心脏植入式电子设备磁共振成像的共识声明。
Can J Cardiol. 2014 Oct;30(10):1131-41. doi: 10.1016/j.cjca.2014.07.010.
9
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