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1/2024
vol. 89 Technology and contrast media
abstract:
Review paper
Magnetic resonance imaging in patients with implanted cardiac electrotherapy devices: a statement from experts of the Polish Medical Society of Radiology, the Polish Society of Cardiology, and the Polish Society of Electroradiology
Magdalena Marczak
1
,
Ewa Świerżyńska
1, 2
,
Mateusz Śpiewak
1
,
Dawid Bodusz
3
,
Aneta Klotzka
4
,
Przemysław Mitkowski
4
,
Mateusz Tajstra
5
,
Tomasz Hryniewiecki
1
,
Zbigniew Serafin
6
,
Maciej Sterliński
1
,
Ilona Michałowska
1
1.
The Cardinal Stefan Wyszyński National Institute of Cardiology, Warsaw, Poland
2.
Doctoral School, Medical University of Warsaw, Warsaw, Poland
3.
Department of Radiotherapy, National Research Institute of Oncology, Gliwice, Poland
4.
1st Department of Cardiology, Poznan University of Medical Sciences, Poznan, Poland
5.
Silesian Centre for Heart Diseases, Zabrze, Poland
6.
Nicolaus Copernicus University, Collegium Medicum in Bydgoszcz, Poland
Pol J Radiol 2024; 89: e1-e5
Online publish date: 2024/01/04
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The year 2023 marks 60 years since the first pacemaker was implanted in Poland. The number of implantable cardiac electrotherapy devices (CIEDs), including pacemakers, cardioverter-defibrillators, and resynchronization therapy systems, has been systematically increasing in the subsequent decades. It is estimated that nearly 500,000 Poles have an implanted cardiac electrotherapy device, making optimal diagnostic imaging with the use of magnetic resonance imaging (MRI) a clinically and epidemiologically important issue.
MRI has become a gold diagnostic standard in many disease states. In this situation, it is believed that 50-70% of patients who have a cardiac electrotherapy device may have indications for an MRI examination later in life. For many years, an implanted cardiac electrotherapy device was considered a definite contraindication to MRI. However, MRI has become possible in most patients with CIED if certain procedures and precautions are followed. In these guidelines, we describe the basic rules that should be followed in order to perform a safe MRI examination in patients with different CIEDs. Despite all the risks and organizational factors described in the text, it seems that for many MRI departments, MRI in patients with CIEDs is achievable and should be implemented immediately. A second important issue is the need for dedicated financial support for these procedures from public health insurance. keywords:
magnetic resonance imaging, cardiac electrography devices, guidelines |
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