Original scientific paper

https://doi.org/10.20471/acc.2020.59.01.14

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

Nikola Pavlović orcid.org/0000-0001-9187-7681 ; Department of Cardiology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Kristijan Đula ; Department of Cardiology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Ivan Kuharić ; Department of Radiology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Sandro Brusich ; Department of Cardiology, Rijeka University Hospital Centre, Rijeka, Croatia
Vedran Velagić ; Department of Cardiology, Zagreb University Hospital Centre, Zagreb, Croatia
Zrinka Jurišić ; Department of Cardiology, Split University Hospital Centre, Split, Croatia
Zoran Bakotić ; Department of Cardiology, Zadar General Hospital, Zadar, Croatia
Ante Anić ; Department of Cardiology, Split University Hospital Centre, Split, Croatia
Borka Pezo Nikolić ; Department of Cardiology, Zagreb University Hospital Centre, Zagreb, Croatia
Vjekoslav Radeljić ; Department of Cardiology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Zlatko Čubranić ; Department of Cardiology, Rijeka University Hospital Centre, Rijeka, Croatia
Ivan Zeljković ; Department of Cardiology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Dijana Zadravec ; Department of Radiology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Šime Manola ; Department of Cardiology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia

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.

Keywords

Magnetic resonance imaging; Croatia; Heart; Pacemaker, artificial

Hrčak ID:

242293

URI

https://hrcak.srce.hr/242293

Publication date:

1.3.2020.

Article data in other languages: croatian

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