Why the study?
The utilization of stress perfusion CMR in patients with cardiac implantable electronic devices is still limited.
Does pharmacological stress cardiac magnetic resonance imaging (CMR) safely yield diagnostic images in patients with cardiac implantable electronic devices (CIEDs)?
Does pharmacological stress cardiac magnetic resonance imaging (CMR) safely yield diagnostic images in patients with cardiac implantable electronic devices (CIEDs)?
Pharmacological stress CMR is a safe and feasible imaging modality that yields high-quality diagnostic data in patients with MR-conditional cardiac implantable devices.
Answers are grounded in this paper and cite their sources.
Supports feasibility of stress perfusion CMR in CIED patients; extends limited data but leaves open need for larger validation studies.
Purpose: The utilization of stress perfusion cardiac magnetic resonance (CMR) in patients with cardiac implantable electronic devices (CIEDs) is still limited. Methods: The study was registered in the Prospective Register of Systematic Reviews (PROSPERO) with ID CRD42023457308. PubMed, Scopus, Embase, Web of Science, ProQuest, and CINAHL databases were searched using the Mesh and related terms of CMR imaging, stress, and CIEDs. Results: Out of the 1695 papers we found, eight met our inclusion criteria. We reviewed the included studies and provided a concluding remark concerning (a) image quality; (b) CMR compatibility, scanner, and safety; (c) device protocols and exclusion criteria; (d) vasodilator choices, effects, and safety; and (e) clinical outcomes. Conclusion: This study has demonstrated a positive trend in the utilization of stress CMR in MR-conditional devices. However, the review has identified multiple research gaps that warrant further investigation.
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Zakavi et al. (2026) studied this question.
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