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MRI and Radiation Exposure in Patients with CIEDs

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3 Table 1. Programmed Parameters for PMs During Power-On Reset Mode Manufacturer Pacing mode Pacing output Pacing polarity Sensitivity Magnet 1 response BIOTRONIK VVI 70 bpm 4.8 V @ 1.0 ms Unipolar 2.5 mV Yes Boston Scientific 2 VVI 65 bpm 5.0 V @1.0 ms Bipolar 1.5 mV No Medtronic VVI 65 bpm 5.0 V @ 0.4 ms Bipolar 2.8 mV Yes St. Jude Medical VVI 67.5 bpm 4.0 V @ 0.6 ms 3 Unipolar 2.0 mV No ELA-Sorin VVI 70 bpm 5.0 V @ 0.5 ms Unipolar 2.2 mV No 1 Magnet = device will/will not pace asynchronously in response to a magnet during safety mode/reset mode. 2 Boston Scientific CRT-P devices differ in pacing output (5 V @ 0.5 ms) and pacing polarity (right ventricle lead is unipolar and le ventricle lead paces from le ventricle to pulse generator). 3 St. Jude Medical Accent/Anthem and Frontier II models deliver 5 V @ 0.6 ms. Magnet response varies by manufacturer. Device Parameters Table 2. Programmed Parameters for ICDs During Power-On Reset Mode Manufacturer Rate cutoff Detection criteria Sensitivity Energy Pacing mode Pacing output BIOTRONIK 150 bpm 8/12 0.8 mV 40 J × 8 VVI 70 bpm 7.5 V @ 1.5 ms 1 Boston Scientific 165 bpm 8/10 0.25 mV 41 J × 5 VVI 72.5 bpm 5.0 V @ 1.0 ms Medtronic 188 bpm 18/24 0.3 mV 35 J × 6 VVI 65 bpm 6.0 V @ 1.5 ms St. Jude Medical 2 146 bpm 12 0.3 mV 36 J × 6 3 VVI 60 bpm 5.0 V @ 0.5 ms ELA-Sorin 190 bpm 6/8 0.4 mV 42 J × 4 4 VVI 60 bpm 5.0 V @ 0.35 ms All devices will respond to magnet application by temporarily disabling tachyarrhythmia detection. Pacing polarity for all devices is bipolar with the exception of Boston Scientific, which paces in a unipolar configuration. Energ y values listed for Medtronic and St. Jude Medical represent energ y delivered. e remaining represent energ y charged. 1 In CRT devices, le ventricle lead output is 4.8 V @ 0.5 ms. 2 e St. Jude Medical Current and Promote family of devices revert to an autosense sensitivity setting, pace at VVI 67.5 beats per minute (bpm) with pacing outputs of 5.0 V @ 0.6 ms. 3 e St. Jude Medical Epic and Epic II family of devices delivers 30 J × 6. 4 ELA-Sorin LivaNova Ovatio family of devices: 34 J × 4.

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