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Abstract #4055

Magnetic resonance imaging of patients with conventional and MR-conditional pacemakers: assessment of risk and incidence

Markus Fahlström1, Johan Olsrud2, Tomas Bjerner1, Elna-Marie Larsson1, and Carina Blomström-Lundqvist3

1Surgical Sciences, Uppsala University, Uppsala, Sweden, 2Clinical Sciences, Lund University, Lund, Sweden, 3Cardiology, Uppsala University, Uppsala, Sweden

Magnetic resonance imaging of patients with conventional- and MR-conditional pacemakers should be considered and may be considered respectively, based on a case-by-case risk-benefit assessment. However, information regarding incidence of risks with respect to exposure to different electromagnetic fields is limited. Based on a literary review, risk, complications and incidence was assessed. Most common risk/complication is reed switch activation. Electrode heating is a relevant risk, with minor clinical implication. Off-label MR-examinations of MR-conditional pacemakers or abandoned leads may be considered.

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