(P144) MAGNETIC RESONANCE IMAGING AND CARDIAC IMPLANTABLE ELECTRONIC DEVICES: WHAT YOU NEED TO KNOW

Background/Purpose: Magnetic resonance imaging (MRI) provides diagnostic information without exposing the patient to radiofrequency radiation. There is an increase in the use of cardiovascular implanted electronic devices (CIED). These patients will potentially require MRI. Controversy exists about which CIED device patients can safely undergo MRIs. The MRI conditional CIED was designed to avoid potential complications of the MRI scanner but CIED patients that do not have MRI conditional status can also undergo MRI. Knowledge of the process required will be reviewed while highlighting the potential complications that may result.

METHODS/RESULTS: As a quality standard of practice, device clinicians are expected to have an understanding of the function and programming requirements of all CIED patients undergoing MRI. A process improvement was developed by our hospital regarding the MRI procedures for CIED patients. Based on the synthesis of existing literature, our collaborative process will be reviewed. This presentation will also highlight the physics of MRI in relation to potential complications of CIED therapy and the programming required to provide safe care using a case based presentation.

CONCLUSION/IMPLICATIONS FOR PRACTICE: Our hospital is committed to ensuring clinicians provide quality care by improving the process for CIED patients undergoing MRI. MRI has the potential to alter CIED functioning. Standardization of the process of MRI in CIED patients is required to ensure patient safety. Collaboration between CIED clinics and MRI departments is necessary to ensure safe seamless care.