Magnetic Resonance Imaging and Radiation Exposure in Patients with Cardiovascular Implantable Electronic Devices
Device Parameters
Table 5. Recommendations and Protocol for the Management of Patients with an MR Conditional Device Undergoing MRI
Management of Patients with a CIED Referred for MRI
Table 6. Recommendations for the Decision to Perform an MRI on Patients with an MR Nonconditional CIED
Table 7. Recommendations for the Management of Patients with an MR Nonconditional CIED Who Are to Have an MRI Scan
- Personnel with the skill to program the CIED be in attendance during MR scanning.
- A physician with the ability to establish temporary transvenous pacing be immediately available on the premises of the imaging facility.
- A physician with the ability to direct CIED programming be immediately available on the premises of the imaging facility.
- Personnel with the skill to program the CIED be available on the premises of the imaging facility
- A physician with the ability to direct CIED programming be available on the premises of the imaging facility
Table 8. Implantable Loop Recorder
Table 9. Employee Safety
Table 10. Recommendations for the Management of Patients with a CIED Undergoing CT Imaging
Management of Patients with a CIED Undergoing CT Imaging
Table 12. Recommendations and Protocol for the Management of Patients with a CIED Undergoing Radiation Therapy
- Whether the device is a PM or ICD
- Whether the patient is pacing-dependent
- The minimum programmed pacing rate
- The maximum programmed tracking and sensor rates.
Recommendation Grading
Overview
Title
Magnetic Resonance Imaging and Radiation Exposure in Patients with Cardiovascular Implantable Electronic Devices
Authoring Organization
Heart Rhythm Society
Publication Month/Year
May 11, 2017
Last Updated Month/Year
March 20, 2024
Supplemental Implementation Tools
Document Type
Consensus
External Publication Status
Published
Country of Publication
US
Document Objectives
To help cardiologists, radiologists, radiation oncologists, and other health care professionals involved in the care of adult and pediatric patients with cardiac implantable electronic devices (CIEDs) who are to undergo magnetic resonance imaging (MRI), computed to- mography (CT), and/or radiation treatment.
Inclusion Criteria
Male, Female, Adult, Older adult
Health Care Settings
Emergency care, Hospital, Outpatient, Radiology services
Intended Users
Nurse, nurse practitioner, physician, physician assistant
Scope
Diagnosis, Management
Diseases/Conditions (MeSH)
D017147 - Defibrillators, Implantable, D010138 - Pacemaker, Artificial
Keywords
magnetic resonance imaging (MRI), radiation therapy, cardiovascular implantable electronic device (CIED), pacemaker, computed tomographic imaging (CT), CIED
Source Citation
Indik JH, Gimbel JR, Abe H, Alkmim-Teixeira R, Birgersdotter-Green U, Clarke GD, et al. 2017 HRS expert consensus statement on magnetic resonance imaging and radiation exposure in patients with cardiovascular implantable electronic devices. Hear Rhythm [Internet]. 2017;14(7):e97–153. Available from: http://dx.doi.org/10.1016/j.hrthm.2017.04.025