Abstract
Cardiovascular magnetic resonance (CMR) is a proven imaging modality for informing diagnosis and prognosis, guiding therapeutic decisions, and risk stratifying surgical intervention. Patients with a cardiac implantable electronic device (CIED) would be expected to derive particular benefit from CMR given high prevalence of cardiomyopathy and arrhythmia. While several guidelines have been published over the last 16 years, it is important to recognize that both the CIED and CMR technologies, as well as our knowledge in MR safety, have evolved rapidly during that period. Given increasing utilization of CIED over the past decades, there is an unmet need to establish a consensus statement that integrates latest evidence concerning MR safety and CIED and CMR technologies. While experienced centers currently perform CMR in CIED patients, broad availability of CMR in this population is lacking, partially due to limited availability of resources for programming devices and appropriate monitoring, but also related to knowledge gaps regarding the risk-benefit ratio of CMR in this growing population. To address the knowledge gaps, this SCMR Expert Consensus Statement integrates consensus guidelines, primary data, and opinions from experts across disparate fields towards the shared goal of informing evidenced-based decision-making regarding the risk-benefit ratio of CMR for patients with CIEDs.
Original language | English (US) |
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Article number | 100995 |
Journal | Journal of Cardiovascular Magnetic Resonance |
Volume | 26 |
Issue number | 1 |
DOIs | |
State | Published - Jun 1 2024 |
Funding
We thank Dr. Joel Felmlee, PhD, for providing current and historical approaches to MRI of CIED patients at the Mayo Clinic. Drs. Kim and Lee were sponsored by funding from the National Institutes of Health (R01HL151079) that is directly related to this consensus statement. Besides Ms. Davids, none of the other authors have relationships with industry related to this consensus statement. Drs. Kim and Lee were sponsored by funding from the National Institutes of Health ( R01HL151079 ) that is directly related to this consensus statement. Besides Ms. Davids, none of the other authors have relationships with industry related to this consensus statement.
Keywords
- Cardiac implantable electronic device
- Cardiovascular magnetic resonance
- Guidelines
- MR safety
ASJC Scopus subject areas
- Radiological and Ultrasound Technology
- Radiology Nuclear Medicine and imaging
- Cardiology and Cardiovascular Medicine
- Family Practice