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Malfunction of an MRI-Conditional Pacemaker Following an MRI

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Presentation on theme: "Malfunction of an MRI-Conditional Pacemaker Following an MRI"— Presentation transcript:

1 Malfunction of an MRI-Conditional Pacemaker Following an MRI
Angela Krebsbach, PA-C, Thomas A. Dewland, MD, Charles A. Henrikson, MD, FHRS  HeartRhythm Case Reports  Volume 3, Issue 2, Pages (February 2017) DOI: /j.hrcr Copyright © 2016 Heart Rhythm Society Terms and Conditions

2 Figure 1 Initial interrogation of device. Note the “Date of visit” of 08-Apr-1996, underlined in red; the actual date of interrogation, 25-Feb-2015, handwritten above the device date and outlined in blue; and the correct date of implant, 11-May-2011, also outlined in blue. HeartRhythm Case Reports 2017 3, DOI: ( /j.hrcr ) Copyright © 2016 Heart Rhythm Society Terms and Conditions

3 Figure 2 Also from the initial interrogation of device. Note the date of SureScan on and off, 16-Jan-1996 (underlined in red), and the evidence of pacer dependence, with >99.9% ventricular pacing. HeartRhythm Case Reports 2017 3, DOI: ( /j.hrcr ) Copyright © 2016 Heart Rhythm Society Terms and Conditions

4 Figure 3 Initial interrogation rate histograms. Note the “Prior to Last Session” information dating back to 07-May-1994 (underlined in red). HeartRhythm Case Reports 2017 3, DOI: ( /j.hrcr ) Copyright © 2016 Heart Rhythm Society Terms and Conditions

5 Figure 4 Fluoroscopy images of the device, showing an intact dual-chamber pacemaker system. HeartRhythm Case Reports 2017 3, DOI: ( /j.hrcr ) Copyright © 2016 Heart Rhythm Society Terms and Conditions

6 Figure 5 Timeline of events. The actual dates of device interrogation are on the top portion of the figure, and the device-reported dates are below. There are an identical 83 days between actual magnetic resonance imaging (MRI) scan and our interrogation and between the MRI SureScan activation/deactivation and our interrogation. HeartRhythm Case Reports 2017 3, DOI: ( /j.hrcr ) Copyright © 2016 Heart Rhythm Society Terms and Conditions


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