Document Detail


Complete loss of ICD programmability after magnetic resonance imaging.
MedLine Citation:
PMID:  15271024     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this case report is to describe the effects of an MRI performed on a patient without realizing that an ICD has been previously implanted. After a few seconds of imaging the adversity was recognized and the examination was stopped immediately. The patient was not pacemaker dependent and had neither physical complaints nor electrocardiographic changes in the surface ECG. A consecutively performed ICD assessment showed a backup mode with standard parameters for pacing (VVI 50 beats/min) and arrhythmia detection and treatment. The device could not be programmed by the external programmer. With the exception of printing out the parameters, all software functions were no longer feasible. A device examination by the manufacturer after ICD replacement showed that a major portion of the device memory was corrupt. Even ICDs of a newer generation are susceptible to magnetic interference, with the danger of complete loss of programmability.
Authors:
Michael Fiek; Thomas Remp; Christopher Reithmann; Gerhard Steinbeck
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  27     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  2004 Jul 
Date Detail:
Created Date:  2004-07-23     Completed Date:  2004-11-09     Revised Date:  2005-08-09    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1002-4     Citation Subset:  IM    
Affiliation:
Medical Hospital I, University of Munich--Grosshadern, Germany. Michael.Fiek@med1.uni-muenchen.de
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MeSH Terms
Descriptor/Qualifier:
Brain / pathology
Computer Storage Devices
Defibrillators, Implantable*
Electrocardiography
Equipment Failure
Humans
Magnetic Resonance Imaging / adverse effects*
Magnetics / adverse effects*
Male
Middle Aged
Ventricular Fibrillation / diagnosis,  prevention & control
Comments/Corrections
Comment In:
Pacing Clin Electrophysiol. 2005 Apr;28(4):354; author reply 354-5   [PMID:  15826279 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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