Arrhythmias & electrophysiology

Implantable Defibrillator System Shock Function, Mortality, and Cause of Death After Magnetic Resonance Imaging

Ann Intern MedPublished Prospective cohort study

Authors' conclusion

Non-MRI-conditional ICDs appropriately treated detected tachyarrhythmias after MRI. No serious adverse effects on device function were reported after MRI.

Study context

Population
Patients with non-MRI-conditional implantable cardioverter-defibrillators (ICDs) undergoing magnetic resonance imaging (MRI), enrolled consecutively February 2003–January 2015, 1 US centre
Participants
629 patients813 MRI examinations
Outcome
Preserved ICD shock function for arrhythmias after MRI
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

median follow-up 2.2 years

Arrhythmia episodes detected

4177

Patients receiving ICD shocks

97

Patients with spontaneous VT/VF terminated by ICD shocks

61

10% of total

Spontaneous VT/VF events terminated by ICD shocks

130

Observational data: associations, not effects.

Further findings

Mortality and cause of death · median 1.7 years from MRI to death

Patients known to have died
210 (33% of total)
Cardiac arrhythmia deaths where shocks were indicated, without direct evidence of device dysfunction
3

Original publication

Implantable Defibrillator System Shock Function, Mortality, and Cause of Death After Magnetic Resonance Imaging. Ann Intern Med. Published 31 January 2023. doi:10.7326/m22-2653

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