SCMR 对植入心脏电子设备患者进行心血管磁共振检查的专家共识声明。

IF 4.2 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of Cardiovascular Magnetic Resonance Pub Date : 2024-06-01 Epub Date: 2024-01-12 DOI:10.1016/j.jocmr.2024.100995
Daniel Kim, Jeremy D Collins, James A White, Kate Hanneman, Daniel C Lee, Amit R Patel, Peng Hu, Harold Litt, Jonathan W Weinsaft, Rachel Davids, Kanae Mukai, Ming-Yen Ng, Julian A Luetkens, Ariel Roguin, Carlos E Rochitte, Pamela K Woodard, Charlotte Manisty, Karolina M Zareba, Lluis Mont, Frank Bogun, Daniel B Ennis, Saman Nazarian, Gregory Webster, Jadranka Stojanovska
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引用次数: 0

摘要

心血管磁共振(CMR)是一种行之有效的成像模式,可为诊断和预后提供信息、指导治疗决策以及对手术干预进行风险分层。由于心肌病和心律失常的发病率较高,预计心脏植入式电子装置(CIED)患者将从 CMR 中获得特别的益处。虽然在过去 16 年中发布了一些指南,但重要的是要认识到,在此期间,CIED 和 CMR 技术以及我们在 MR 安全性方面的知识都在迅速发展。鉴于 CIED 的使用在过去几十年中不断增加,我们需要制定一份共识声明,整合有关 MR 安全性、CIED 和 CMR 技术的最新证据。虽然目前有经验的中心会对 CIED 患者进行 CMR,但在这一人群中仍缺乏广泛的 CMR 可用性,部分原因是用于编程设备和适当监测的资源可用性,但也与在这一日益增长的人群中进行 CMR 的风险效益比方面的知识差距有关。为解决知识差距问题,本 SCMR 专家共识声明整合了共识指南、原始数据和来自不同领域专家的意见,以实现为 CIED 患者提供有关 CMR 风险效益比的循证决策信息这一共同目标。
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SCMR expert consensus statement for cardiovascular magnetic resonance of patients with a cardiac implantable electronic device.

Cardiovascular magnetic resonance (CMR) is a proven imaging modality for informing diagnosis and prognosis, guiding therapeutic decisions, and risk stratifying surgical intervention. Patients with a cardiac implantable electronic device (CIED) would be expected to derive particular benefit from CMR given high prevalence of cardiomyopathy and arrhythmia. While several guidelines have been published over the last 16 years, it is important to recognize that both the CIED and CMR technologies, as well as our knowledge in MR safety, have evolved rapidly during that period. Given increasing utilization of CIED over the past decades, there is an unmet need to establish a consensus statement that integrates latest evidence concerning MR safety and CIED and CMR technologies. While experienced centers currently perform CMR in CIED patients, broad availability of CMR in this population is lacking, partially due to limited availability of resources for programming devices and appropriate monitoring, but also related to knowledge gaps regarding the risk-benefit ratio of CMR in this growing population. To address the knowledge gaps, this SCMR Expert Consensus Statement integrates consensus guidelines, primary data, and opinions from experts across disparate fields towards the shared goal of informing evidenced-based decision-making regarding the risk-benefit ratio of CMR for patients with CIEDs.

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来源期刊
CiteScore
10.90
自引率
12.50%
发文量
61
审稿时长
6-12 weeks
期刊介绍: Journal of Cardiovascular Magnetic Resonance (JCMR) publishes high-quality articles on all aspects of basic, translational and clinical research on the design, development, manufacture, and evaluation of cardiovascular magnetic resonance (CMR) methods applied to the cardiovascular system. Topical areas include, but are not limited to: New applications of magnetic resonance to improve the diagnostic strategies, risk stratification, characterization and management of diseases affecting the cardiovascular system. New methods to enhance or accelerate image acquisition and data analysis. Results of multicenter, or larger single-center studies that provide insight into the utility of CMR. Basic biological perceptions derived by CMR methods.
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