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Cardiovascular magnetic resonance in cardiac sarcoidosis with MR conditional pacemaker in situ

Quarta, G; Holdright, DR; Plant, GT; Harkness, A; Hausenloy, D; Hyare, H; Moon, JC; (2011) Cardiovascular magnetic resonance in cardiac sarcoidosis with MR conditional pacemaker in situ. Journal of Cardiovascular Magnetic Resonance , 13 , Article 26. 10.1186/1532-429X-13-26. Green open access

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Abstract

Cardiovascular implantable electronic devices represent important limitations to magnetic resonance imaging (MRI). Recently, MRI-conditional dual chamber pacemakers and leads have become available. We describe a case of a patient with neuro-sarcoidosis presenting with diplopia and hydrocephalus requiring an MRI-conditional programmable ventriculo-peritoneal shunt, who developed complete heart block. In view of the ongoing need for neuro-imaging, MRI-conditional dual chamber pacemaker and leads were implanted. Cardiac and brain MRI were requested to guide immunosupression. Overall the scans demonstrated stable neurological disease, but confirmed cardiac sarcoid, with oedema on T2 weighted images suggesting active disease and extensive sub-endocardial late gadolinium enhancement, including the basal septum. This case illustrates why sarcoid patients who develop bradyarrhythmias should ideally have an MRI-conditional pacing system.

Type: Article
Title: Cardiovascular magnetic resonance in cardiac sarcoidosis with MR conditional pacemaker in situ
Open access status: An open access version is available from UCL Discovery
DOI: 10.1186/1532-429X-13-26
Publisher version: http://dx.doi.org/10.1186/1532-429X-13-26
Language: English
Additional information: © 2011 Quarta et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Artifacts, Cardiac Pacing, Artificial, Cardiomyopathies, Edema, Cardiac, Equipment Design, Female, Heart Block, Humans, Hydrocephalus, Immunosuppression, Magnetic Resonance Imaging, Cine, Middle Aged, Pacemaker, Predictive Value of Tests, Sarcoidosis
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science > Clinical Science
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science > Pre-clinical and Fundamental Science
URI: https://discovery.ucl.ac.uk/id/eprint/1305717
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