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. Author manuscript; available in PMC: 2015 Feb 23.
Published in final edited form as: Ann Intern Med. 2011 Oct 4;155(7):415–424. doi: 10.7326/0003-4819-155-7-201110040-00004

Table 2.

Device Variables Before and After MRI*

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.