Clinically Indicated Magnetic Resonance Imaging of Patients With Permanent Pacemakers (PPM) and Implantable Defibrillators (ICD)
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Arrhythmias, Cardiac
- Sponsor
- Johns Hopkins University
- Enrollment
- 1509
- Locations
- 1
- Primary Endpoint
- Device Malfunction
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
Patients with implanted cardiac devices who meet appropriate entrance criteria undergo clinically indicated Magnetic Resonance (MR) Imaging Studies using an established safety protocol.
Detailed Description
This prospective cohort study to use an established MRI device safety protocol to decrease the risk of clinically indicated MR imaging in patients with implantable cardiac devices. All devices will undergo a complete interrogation and testing of thresholds, sensing, battery voltage and impedances prior to and following imaging. Pre-MRI, devices will be programmed to setting that will ensure MRI safety. During imaging, patients will blood pressure, heart rate and O2 sat level will be monitored continuously.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients with an emergent or absolute need for MR imaging and PPM or certain ICD's
Exclusion Criteria
- •Pacemaker dependent patients with ICD's
- •Patients with other contraindication to MRI
Outcomes
Primary Outcomes
Device Malfunction
Time Frame: immediately post MRI (up to 2 hours) and long-term follow-up (up to 6 months)
Number of patients with change in device testing defined as a change in any of the following (impedance, battery life, p and r wave sensing and atrial and ventricular capture thresholds) not to exceed 50 percent from baseline
Patient Safety
Time Frame: assessed during MRI and immediate post MRI (up to 2 hours)
Number of patients with change in vital signs including blood pressure, heart rate and pulse oximetry not to exceed 10 percent from baseline lead impedances as well as patient reports of any discomfort related to MRI)
Secondary Outcomes
- Noise Artifacts as Assessed by the Number of Participants With a Greater Than a 50% Change in Lead Impedance(Immediately post MRI (up to 2 hours))