Table 2.
Variable | Patients, n† | Median Value at Baseline (IQR) | Median Difference (IQR) | Median Percentage Change Compared With Baseline (IQR)‡ | P Value§ |
---|---|---|---|---|---|
Immediately After MRI | |||||
| |||||
P-wave amplitude, mV | 303 | 2.9 (2 to 4.3) | 0 (−0.2 to 0.1) | 0 (−7 to 5) | 0.40 |
| |||||
Right ventricular R-wave amplitude, mV | 461 | 11.6 (8.2 to 14.2) | 0 (−0.7 to 0) | 0 (−7 to 0) | <0.001 |
| |||||
Left ventricular R-wave amplitude, mV | 20 | 10.4 (6.4 to 22.2) | −0.8 (−1.8 to 0.3) | −7 (−20 to 4) | 0.097 |
| |||||
Atrial lead impedance, Ω | 364 | 489 (419 to 562) | −2 (−13 to 0) | −0.3 (−3 to 0) | <0.001 |
| |||||
Right ventricular lead impedance, Ω | 518 | 540 (430 to 655) | −4 (−16 to 0) | −0.9 (−3 to 0) | <0.001 |
| |||||
Left ventricular lead impedance, Ω | 51 | 585 (475 to 684) | −11 (−40 to 0) | −1.8 (−6 to 0) | 0.002 |
| |||||
Atrial capture threshold, V | 332 | 0.8 (0.5 to 1) | 0 (0 to 0) | 0 (0 to 0) | 0.53 |
| |||||
Right ventricular capture threshold, V | 531 | 0.9 (0.6 to 1) | 0 (0 to 0) | 0 (0 to 0) | 0.46 |
| |||||
Left ventricular capture threshold, V | 55 | 1.5 (0.8 to 2) | 0 (0 to 0) | 0 (0 to 0) | 0.55 |
| |||||
Battery voltage, V|| | 472 | 2.78 (2.75 to 3.1) | 0 (0 to 0) | 0 (0 to 0) | <0.001 |
Long-Term Follow-up After MRI | |||||
| |||||
P-wave amplitude, mV | 124 | 2.9 (2 to 4.3) | 0 (−0.3 to 0.2) | 0 (−13 to 10) | 0.41 |
| |||||
Right ventricular R-wave amplitude, mV | 198 | 11.6 (8.2 to 14.2) | 0 (−1.1 to 0.3) | 0 (−12 to 3) | 0.004 |
| |||||
Left ventricular R-wave amplitude, mV | 9 | 10.4 (6.4 to 22.2) | 0 (−1.1 to 0.1) | 0 (−19 to 1) | 0.28 |
| |||||
Atrial lead impedance, Ω | 167 | 489 (419 to 562) | −3 (−23 to 19) | −0.5 (−5 to 4) | 0.154 |
| |||||
Right ventricular lead impedance, Ω | 234 | 540 (430 to 655) | −3 (−29 to 15) | −0.5 (−5 to 3) | 0.044 |
| |||||
Left ventricular lead impedance, Ω | 23 | 585 (475 to 684) | 0 (−40 to 16) | 0 (−6 to 3) | 0.45 |
| |||||
Atrial capture threshold, V | 105 | 0.8 (0.5 to 1) | 0 (0 to 0) | 0 (0 to 0) | 0.28 |
| |||||
Right ventricular capture threshold, V | 190 | 0.9 (0.6 to 1) | 0 (0 to 0.2) | 0 (0 to 20) | 0.012 |
| |||||
Left ventricular capture threshold, V | 23 | 1.5 (0.8 to 2) | 0 (−0.5 to 0.4) | 0 (−21 to 33) | 0.85 |
| |||||
Battery voltage, V | 224 | 2.78 (2.75 to 3.1) | −0.01 (−0.04 to 0) | −0.4 (−1.4 to 0) | <0.001 |
IQR = interquartile range; MRI = magnetic resonance imaging.
Lead impedance variations exceeding 30% (20, 21), capture threshold variations exceeding 50% (22), and sensing variations exceeding 40% (23, 24) indicate clinically significant changes in lead performance.
The number of comparisons for each device variable is unique, primarily owing to variability in the number of leads, the absence of intrinsic P/R waves, the presence of atrial arrhythmia, and pulse widths during measurement of capture threshold at follow-up interrogation. The proportion of missing data for each variable is discussed in the Discussion section.
Based on long-term follow-up results available for 266 (61%) patients undergoing 278 MRI examinations.
Obtained by using the Wilcoxon signed-rank test.
Of the 472 comparisons for acute battery voltage, 92 (19.5%) were decreases, 22 (4.7%) were increases, and 358 (75.8%) did not change.