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Cardiovascular magnetic resonance in cardiac sarcoidosis with MR conditional pacemaker in situ
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نویسنده
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quarta g. ,holdright d.r. ,plant g.t. ,harkness a. ,hausenloy d. ,hyare h. ,moon j.c.
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منبع
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journal of cardiovascular magnetic resonance - 2011 - دوره : 13 - شماره : 1
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چکیده
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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. © 2011 quarta et al; licensee biomed central ltd.
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آدرس
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department of cardiology,heart hospital,university college london hospitals nhs trust,16-18 westmoreland street,london. w1g 8ph,united kingdom,department of cardiology,s. andrea hospital,university la sapienza,rome, Italy, department of cardiology,heart hospital,university college london hospitals nhs trust,16-18 westmoreland street,london. w1g 8ph, United Kingdom, national hospital for neurology and neurosurgery queen square,university college london hospitals nhs trust,london wc1n 3bg, United Kingdom, department of cardiology,colchester hospital university nhs foundation trust,colchester, United Kingdom, department of cardiology,heart hospital,university college london hospitals nhs trust,16-18 westmoreland street,london. w1g 8ph, United Kingdom, department of imaging,university college london hospitals nhs trust,250 euston road,london. nw1 2pg,united kingdom,mrc prion unit,department of neurodegenerative diseases,ucl institute of neurology,queen square,london. wc1n 3bg, United Kingdom, department of cardiology,heart hospital,university college london hospitals nhs trust,16-18 westmoreland street,london. w1g 8ph,united kingdom,department of medicine,university college london,london, United Kingdom
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Authors
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