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Documento de Consenso sobre a realização de ressonância magnética em doentes com dispositivos cardíacos electrónicos implantados

2021-01Artigo científico Acesso aberto
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dc.contributor.authorAlmeida, Ana G.
dc.contributor.authorAntónio, Natália
dc.contributor.authorSaraiva, Carla
dc.contributor.authorFerreira, António Miguel
dc.contributor.authorReis, António Hipólito
dc.contributor.authorMarques, Hugo
dc.contributor.authorPinto Marques, Hugo
dc.contributor.authorFerreira, Nuno Dias
dc.contributor.authorOliveira, Mário
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblSociedade Portuguesa de Cardiologia | Elsevier
dc.date.accessioned2021-11-09T23:20:48Z
dc.date.available2021-11-09T23:20:48Z
dc.date.issued2021-01
dc.description.abstractMagnetic resonance imaging (MRI) is currently considered an essential complementary method for diagnosis in many conditions. Exponential growth in its use is expected due to the aging population and a broader spectrum of clinical indications. Growth in its use, coupled with an increasing number of pacemaker implants, implantable cardioverter‐defibrillators and cardiac resynchronization therapy, has led to a frequent clinical need for this diagnostic modality in patients with cardiac implantable electronic devices (CIED). This clinical need has fueled the development of devices specifically designed and approved for use in a magnetic resonance (MR) environment under certain safety conditions (MR‐conditional devices). More than a decade after the introduction of the first MR‐conditional pacemaker, there are now several dozen MR‐conditional devices with different safety specifications. In recent years, increasing evidence has indicated there is a low risk to MRI use in conventional (so‐called non‐MR‐conditional) CIED patients in the right circumstances. The increasing number, as well as the greater diversity and complexity of implanted devices, justify the need to standardize procedures, by establishing institutional agreements that require close collaboration between cardiologists and radiologists. This consensus document, prepared jointly by the Portuguese Society of Cardiology and the Portuguese Society of Radiology and Nuclear Medicine, provides general guidelines for MRI in patients with CIED, ensuring the safety of patients, health professionals and equipment. In addition to briefly reviewing the potential risks of MRI in patients with CIED and major changes to MRI‐conditional devices, this article provides specific recommendations on risk‐benefit analysis, informed consent, scheduling, programming strategies, devices, monitoring and modification of MRI sequences. The main purpose of this document is to optimize patient safety and provide legal support to facilitate easy access by CIED patients to a potentially beneficial and irreplaceable diagnostic technique.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent12
dc.format.extent901374
dc.identifier.doi10.1016/j.repc.2020.05.009
dc.identifier.issn0870-2551
dc.identifier.otherPURE: 27732256
dc.identifier.otherPURE UUID: 0a5ad58c-24fe-41f5-b2e7-b5be74899920
dc.identifier.otherScopus: 85099505671
dc.identifier.otherPubMed: 33342713
dc.identifier.otherWOS: 000701939300010
dc.identifier.otherORCID: /0000-0003-3540-0488/work/102891637
dc.identifier.urihttp://hdl.handle.net/10362/127467
dc.identifier.urlhttps://www.scopus.com/pages/publications/85099505671
dc.language.isopor
dc.peerreviewedyes
dc.subjectImplanted electronic cardiac devices
dc.subjectMagnetic resonance
dc.subjectPacemakers
dc.subjectCardiology and Cardiovascular Medicine
dc.titleDocumento de Consenso sobre a realização de ressonância magnética em doentes com dispositivos cardíacos electrónicos implantadospt
dc.title.alternativeConsensus document on magnetic resonance imaging in patients with cardiac implanted electronic devicesen
dc.typejournal article
degois.publication.firstPage41
degois.publication.issue1
degois.publication.lastPage52
degois.publication.titleRevista Portuguesa de Cardiologia
degois.publication.volume40
dspace.entity.typePublication
person.familyNamePinto Marques
person.givenNameHugo
person.identifier.orcid0000-0003-3540-0488
person.identifier.scopus-author-id24537571800
rcaap.rightsopenAccess
relation.isAuthorOfPublicationa3ed0804-c7c1-437a-b08c-931f4de4b3b4
relation.isAuthorOfPublication.latestForDiscoverya3ed0804-c7c1-437a-b08c-931f4de4b3b4

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