摘要
目的探讨植入核磁共振(MRI)兼容起搏器患者进行MRI扫描的安全性。方法选取自2013年1月至2017年10月于北部战区总医院植入MRI兼容起搏器并进行1. 5 T的MRI扫描的21例患者为研究对象。观察患者在核磁扫描前、扫描后即刻以及扫描后1、6、12个月的临床不良事件发生情况、起搏器系统稳定性及电极导线的参数变化情况。结果本组患者在MRI扫描过程中,无胸痛、心悸、胸闷、晕厥等不适症状,心电监测未监测到心律失常的发生,MRI扫描后复查的体表心电图与扫描前比较无变化。扫描后即刻程控仪测试脉冲发生器的工作情况,无误感知、超速起搏、脉冲发生器重置等异常现象发生,测试电池电量无损耗,扫描前、扫描后即刻以及扫描后1、6、12个月的电极导线参数未见明显异常变化(P>0. 05)。结论植入MRI兼容的起搏器患者进行1. 5 T的MRI扫描的安全性及稳定性均较好。
Objective To investigate the safety of magnetic resonance imaging( MRI) scan for patients with implantable nuclear magnetic resonance compatible pacemakers. Methods A retrospective study was performed on 21 cases of patients with implantable nuclear magnetic resonance compatible pacemakers who underwent 1. 5 T MRI scanning from January 2013 to October 2017. The clinical adverse events,the stability of pacemaker system and the parameter changes of pacing leads were observed before,immediately after,1,6 and 12 months after MRI scanning. Results In this group of patients,there were no chest pain,palpitations,chest tightness,syncope and other discomfort symptoms in the MRI scanning process,no arrhythmia was detected in the electrocardiogram monitoring,and there was no change in the body surface electrocardiogram after the MRI scanning compared with before the scanning. Scanning program-controlled instrument immediately after testing the performance of the pulse generator,and correct perception,speeding pacemaker,reset pulse generator,such as abnormal phenomenon occurs,the test battery lossless,close follow-up scans before,immediately after scanning,scanning after 1,6,12 months of pacing leads parameters,no obvious changes occured( P > 0. 05). Conclusion Patients implanted with MRI compatible pacemakers who underwent 1. 5 T MRI scanning are safe and stable.
作者
武敏
于海波
梁延春
高阳
徐白鸽
许国卿
刘荣
WU Min;YU Hai-bo;LIANG Yan-chun;GAO Yang;XU Bai-ge;XU Guo-qing;LIU Rong(Department of Cardiology,General Hospital of Northern Theater Command,Shenyang 110016,China)
出处
《临床军医杂志》
CAS
2019年第2期153-155,共3页
Clinical Journal of Medical Officers
基金
国家重点研发计划项目(2016YFC0900904)
辽宁省自然科学基金资助项目(20180550901)
关键词
核磁共振兼容
起搏器
电极导线
Nuclear magnetic resonance compatibility
Pacemaker
Pacing leads
作者简介
第一作者:武敏(1981-),女,山西汾阳人,主治医师;通信作者:于海波,E-mail:yuhaibo_74@126.com.
