Magnetic Resonance Imaging in a Patient with a Dual Chamber Pacemaker

Having a pacemaker has been seen an absolute contraindication to having an MRI scan. This has become increasingly difficult in clinical practice as insertion of pacemakers and implantable cardiac defibrillators is at an all time high. Here we outline a case where a 71-year-old male patient with a pe...

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Main Authors: Lynne Martina Millar, Andrew George Robinson, Maurice Thomas O'Flaherty, Niall Eames, Nicola Johnston, Gary Heyburn
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2010/292071
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author Lynne Martina Millar
Andrew George Robinson
Maurice Thomas O'Flaherty
Niall Eames
Nicola Johnston
Gary Heyburn
author_facet Lynne Martina Millar
Andrew George Robinson
Maurice Thomas O'Flaherty
Niall Eames
Nicola Johnston
Gary Heyburn
author_sort Lynne Martina Millar
collection DOAJ
description Having a pacemaker has been seen an absolute contraindication to having an MRI scan. This has become increasingly difficult in clinical practice as insertion of pacemakers and implantable cardiac defibrillators is at an all time high. Here we outline a case where a 71-year-old male patient with a permanent pacemaker needed to have an MRI scan to ascertain the aetiology of his condition and help guide further management. Given this clinical dilemma, an emergency clinical ethics consultation was arranged. As a result the patient underwent an MRI scan safely under controlled conditions with a consultant cardiologist and radiologist present. The results of the MRI scan were then able to tailor further treatment. This case highlights that in certain conditions an MRI can be performed in patients with permanent pacemakers and outlines the role of clinical ethics committees in complex medical decision making.
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series Case Reports in Medicine
spelling doaj-art-016a9af265824b39ae53d894b6f939ff2025-02-03T05:51:58ZengWileyCase Reports in Medicine1687-96271687-96352010-01-01201010.1155/2010/292071292071Magnetic Resonance Imaging in a Patient with a Dual Chamber PacemakerLynne Martina Millar0Andrew George Robinson1Maurice Thomas O'Flaherty2Niall Eames3Nicola Johnston4Gary Heyburn5Department of Cardiology, Royal Victoria Hospital, 274 Grosvenor Road, Belfast BT12 6BA, Northern IrelandDepartment of Trauma and Orthopaedics, Royal Victoria Hospital, 274 Grosvenor Road, Belfast BT12 6BA, Northern IrelandDepartment of Trauma and Orthopaedics, Royal Victoria Hospital, 274 Grosvenor Road, Belfast BT12 6BA, Northern IrelandDepartment of Trauma and Orthopaedics, Royal Victoria Hospital, 274 Grosvenor Road, Belfast BT12 6BA, Northern IrelandDepartment of Cardiology, Royal Victoria Hospital, 274 Grosvenor Road, Belfast BT12 6BA, Northern IrelandDepartment of Trauma and Orthopaedics, Royal Victoria Hospital, 274 Grosvenor Road, Belfast BT12 6BA, Northern IrelandHaving a pacemaker has been seen an absolute contraindication to having an MRI scan. This has become increasingly difficult in clinical practice as insertion of pacemakers and implantable cardiac defibrillators is at an all time high. Here we outline a case where a 71-year-old male patient with a permanent pacemaker needed to have an MRI scan to ascertain the aetiology of his condition and help guide further management. Given this clinical dilemma, an emergency clinical ethics consultation was arranged. As a result the patient underwent an MRI scan safely under controlled conditions with a consultant cardiologist and radiologist present. The results of the MRI scan were then able to tailor further treatment. This case highlights that in certain conditions an MRI can be performed in patients with permanent pacemakers and outlines the role of clinical ethics committees in complex medical decision making.http://dx.doi.org/10.1155/2010/292071
spellingShingle Lynne Martina Millar
Andrew George Robinson
Maurice Thomas O'Flaherty
Niall Eames
Nicola Johnston
Gary Heyburn
Magnetic Resonance Imaging in a Patient with a Dual Chamber Pacemaker
Case Reports in Medicine
title Magnetic Resonance Imaging in a Patient with a Dual Chamber Pacemaker
title_full Magnetic Resonance Imaging in a Patient with a Dual Chamber Pacemaker
title_fullStr Magnetic Resonance Imaging in a Patient with a Dual Chamber Pacemaker
title_full_unstemmed Magnetic Resonance Imaging in a Patient with a Dual Chamber Pacemaker
title_short Magnetic Resonance Imaging in a Patient with a Dual Chamber Pacemaker
title_sort magnetic resonance imaging in a patient with a dual chamber pacemaker
url http://dx.doi.org/10.1155/2010/292071
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