Clinical Hospital Centre Zemun, Department of Cardiology, Faculty of Medicine, University of Belgrade, Vukova 9, 11080 Belgrade, Serbia.
Department of Cardiovascular Diseases, University Hospitals Leuven/Department of Cardiovascular Sciences, Catholic University of Leuven, Herestraat 49, 3000 Leuven, Belgium.
Eur Heart J Cardiovasc Imaging. 2023 Dec 21;25(1):e33-e54. doi: 10.1093/ehjci/jead273.
Cardiac implantable electronic devices (CIEDs) improve quality of life and prolong survival, but there are additional considerations for cardiovascular imaging after implantation-both for standard indications and for diagnosing and guiding management of device-related complications. This clinical consensus statement (part 2) from the European Association of Cardiovascular Imaging, in collaboration with the European Heart Rhythm Association, provides comprehensive, up-to-date, and evidence-based guidance to cardiologists, cardiac imagers, and pacing specialists regarding the use of imaging in patients after implantation of conventional pacemakers, cardioverter defibrillators, and cardiac resynchronization therapy (CRT) devices. The document summarizes the existing evidence regarding the role and optimal use of various cardiac imaging modalities in patients with suspected CIED-related complications and also discusses CRT optimization, the safety of magnetic resonance imaging in CIED carriers, and describes the role of chest radiography in assessing CIED type, position, and complications. The role of imaging before and during CIED implantation is discussed in a companion document (part 1).
心脏植入式电子设备 (CIEDs) 可提高生活质量并延长生存期,但在植入后还需要考虑心血管成像的问题——无论是用于标准适应证,还是用于诊断和指导设备相关并发症的管理。这份来自欧洲心血管成像协会与欧洲心律协会合作的临床共识声明(第 2 部分),为心脏病专家、心脏成像专家和起搏专家提供了关于在植入传统起搏器、除颤器和心脏再同步治疗 (CRT) 设备后的患者中使用影像学的全面、最新和基于证据的指导。该文件总结了关于各种心脏成像方式在疑似 CIED 相关并发症患者中的作用和最佳使用的现有证据,还讨论了 CRT 优化、CIED 携带者行磁共振成像的安全性,以及描述了胸部 X 线摄影在评估 CIED 类型、位置和并发症方面的作用。植入 CIED 之前和期间的影像学作用在配套文件(第 1 部分)中进行了讨论。
Eur Heart J Cardiovasc Imaging. 2023-12-21
Eur Heart J Cardiovasc Imaging. 2023-12-21
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