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

dc.contributor.authorAlmeida, Ana G.
dc.contributor.authorAntónio, Natália
dc.contributor.authorSaraiva, Carla
dc.contributor.authorFerreira, António Miguel
dc.contributor.authorHipólito-Reis, António
dc.contributor.authorMarques, Hugo
dc.contributor.authorFerreira, Nuno Dias
dc.contributor.authorOliveira, Mário
dc.date.accessioned2022-11-10T10:51:40Z
dc.date.available2022-11-10T10:51:40Z
dc.date.issued2021
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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationAlmeida AG, António N, Saraiva C, et al. Consensus document on magnetic resonance imaging in patients with cardiac implanted electronic devices. Documento de Consenso sobre a realização de ressonância magnética em doentes com dispositivos cardíacos electrónicos implantados. Rev Port Cardiol (Engl Ed). 2021;40(1):41-52. doi:10.1016/j.repc.2020.05.009pt_PT
dc.identifier.doi10.1016/j.repc.2020.05.009pt_PT
dc.identifier.issn2174-2049
dc.identifier.urihttp://hdl.handle.net/10400.16/2745
dc.language.isoporpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/pii/S0870255120304133?via%3Dihubpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectImplanted electronic cardiac devicespt_PT
dc.subjectMagnetic resonancept_PT
dc.subjectPacemakerspt_PT
dc.subjectDispositivos cardíacos eletrónicos implantadospt_PT
dc.subjectRessonância Magnéticapt_PT
dc.titleDocumento de Consenso sobre a realização de ressonância magnética em doentes com dispositivos cardíacos electrónicos implantadospt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlacePortugalpt_PT
oaire.citation.endPage52pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage41pt_PT
oaire.citation.titleRevista Portuguesa de Cardiologiapt_PT
oaire.citation.volume40pt_PT
person.familyNameHipólito Reis
person.givenNameAntónio
person.identifier.orcid0000-0002-0820-226X
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationce43aa51-3627-47d2-b06e-dd9cdd639ded
relation.isAuthorOfPublication.latestForDiscoveryce43aa51-3627-47d2-b06e-dd9cdd639ded

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