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Risker med magnetresonanstomografiundersökningar för patienter med ickekompatibla pacemakers vid 1,5 Tesla
Umeå University, Faculty of Medicine, Department of Nursing.
Umeå University, Faculty of Medicine, Department of Nursing.
2018 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Risks with magnetic resonance imaging examinations for patients with non-compatible pacemakers at 1.5 Tesla (English)
Abstract [sv]

Bakgrund: Antalet patienter med pacemakers förväntas öka med hänsyn till att människor blir äldre med ökad risk för hjärtsjukdom, samt att pacemakerutvecklingen går stadigt framåt. Av patienter som har inopererade cardiac implantable electronic device (CIED) riskerar 50 – 75 % att ha behov av magnetresonanstomografi (MR) under CIEDs livstid. Pacemakers anses dock vara en kontraindikation för diagnostik med MR.

Syfte: Syftet med denna studie är att sammanställa det aktuella forskningsläget angående risker med MR-undersökningar för patienter med konventionella pacemakers (cPM) vid 1,5 tesla.

Metod: För att besvara syftet utfördes en litteraturstudie med 13 kvantitativa vetenskapliga artiklar sammanställda utifrån databaserna CHINAHL och PubMed.  Resultat: Resultatet tyder på att MR kan utföras säkert på icke-pacemakerberoende patienter med cPM, förutsatt att detta sker under övervakning. Risker kan dock finnas för pacemakerberoende patienter. 

Konklusion: Varje patient bör genomgå en individuell riskbedömning där nyttan ska anses överstiga riskerna. Alla undersökningar av patienter med cPM i MRkameran bör ske under övervakning av utbildad personal och ett säkerhetsprotokoll bör upprättas och följas.

Abstract [en]

Bakground: The number of patients with pacemakers is expected to increase with respect to that people are getting older, with an increased risk of heart disease, and that pacemaker development is progressing steadily. Of patients who have implanted cardiac implantable electronic device (CIED), 50-75% need magnet resonance imaging (MRI) during the lifetime of the CIED. Pacemakers, however, are considered a contraindication for diagnosis with MRI.

Purpose: The purpose of this study is to compile the current research situation regarding risks with MR examinations of patients with conventional pacemakers (cPM) at 1.5 Tesla.

Method: A literature study was conducted with 13 quantitative scientific articles compiled from the CHINAHL and PubMed databases.

Result: The result indicates that MRI can be safely performed in non-pacemaker-dependent patients with cPM, provided it is performed during surveillance. However, risks may exist for pacemaker-dependent patients.

Conclusion: Each patient should undergo an individual risk assessment where the benefit should be considered to exceed the risks. All examinations of patients with cPM in the MRI should be supervised by trained staff, and a safety protocol should be established and followed.

Place, publisher, year, edition, pages
2018. , p. 25
Keywords [en]
1.5 Tesla, conventional pacemaker, magnet resonance imaging, pacemaker, patient safety
Keywords [sv]
1, 5 Tesla, konventionell pacemaker, magnetisk resonanstomografi, pacemaker, patientsäkerhet.
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-147555OAI: oai:DiVA.org:umu-147555DiVA, id: diva2:1205698
Educational program
Diagnostic Radiology Nursing Programme
Supervisors
Examiners
Available from: 2018-07-04 Created: 2018-05-15 Last updated: 2018-07-04Bibliographically approved

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CiteExportLink to record
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