title: Is there a place for cardiovascular magnetic resonance conditional devices in systemic inflammatory diseases?
abstract: Rhythm disturbances and sudden cardiac death (SCD) are important manifestations of cardiac involvement in systemic inflammatory diseases (SID). The commonest events demanding the implantation of a device include ventricular tachycardia and atrioventricular block, mainly diagnosed in sarcoidosis, systemic lupus erythematosus and scleroderma. In SCD, cardiac magnetic resonance (CMR) identified areas of late gadolinium enhancement (LGE) in 71% and provided an arrhythmic substrate in 76%, while during the follow-up, the extent of LGE identified a subgroup at increased risk for future adverse events. CMR has been successfully used for detection of cardiac disease in SID, including myocarditis, coronary, microvascular and valvular disease. Additionally, SIDs have a higher probability to need MRI scanning of other organs, due to their systemic disease. These reasons support the necessity of an MRI conditional device in SIDs. A broad selection of devices, approved for the MRI environment under defined conditions allows the safe and accurate scanning of SID patients.
authors.affiliation: a Onassis Cardiac Surgery Center , Athens , Greece.
authors.forename: Sophie I
authors.initials: SI
authors.lastname: Mavrogeni
authors.affiliation: a Onassis Cardiac Surgery Center , Athens , Greece.
authors.forename: George
authors.initials: G
authors.lastname: Poulos
authors.affiliation: b First Department of Propaedeutic and Internal medicine , Laikon Hospital, Athens University Medical School , Athens , Greece.
authors.forename: Petros P
authors.initials: PP
authors.lastname: Sfikakis
authors.affiliation: c Arthritis Research UK Epidemiology Unit , Manchester University , Manchester , UK.
authors.forename: George D
authors.initials: GD
authors.lastname: Kitas
authors.affiliation: a Onassis Cardiac Surgery Center , Athens , Greece.
authors.forename: Genovefa
authors.initials: G
authors.lastname: Kolovou
authors.affiliation: a Onassis Cardiac Surgery Center , Athens , Greece.
authors.forename: George
authors.initials: G
authors.lastname: Theodorakis
mesh_terms: D002318:Cardiovascular Diseases / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control; D016757:Death, Sudden, Cardiac / Q000209:etiology / Q000517:prevention & control*; D042241:Early Diagnosis; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications / Q000175:diagnosis; D019028:Magnetic Resonance Imaging, Cine / Q000295:instrumentation / Q000379:methods; D009206:Myocardium / Q000473:pathology; D015203:Reproducibility of Results; D012507:Sarcoidosis / Q000150:complications / Q000175:diagnosis; D012595:Scleroderma, Systemic / Q000150:complications / Q000175:diagnosis
keywords: Cardiac magnetic resonance conditional devices; atrioventricular block; systemic inflammatory diseases; ventricular fibrillation; ventricular tachycardia