Table 2.
Advice for programming devices in non-MRI-conditional patients undergoing magnetic resonance scanning
In pacemaker-dependent patients: asynchronous mode (VOO/DOO) with HF of 80–90/min with high output, RV-only pacing in biventricular devices |
In non-pacemaker-dependent patients: |
– Resting heart rate >50/min: VVI or DDI 30–40/min |
– Resting heart rate <50/min: consider VOO/DOO 80–90/min with high output |
– RV-only pacing in CRT patients |
Deactivate additional features: |
– Rate response mode |
– Anti-tachycardia therapies (including anti-tachycardia pacing and shocks)—ICD only |
– LV-triggered pacing (ventricular sense response)—biventricular devices only |
– Anti-pacemaker-mediated tachycardia pacing (PMT algorithms) |
– PVC-triggered pacing response |
– PAC-triggered pacing response |
– Atrial fibrillation therapies (rate smoothing, overdrive pacing, conducted atrial fibrillation response) |
– Hysteresis pacing |
– Magnet response (if the option exists) |
– Noise response |
MRI magnetic resonance imaging, HF heart frequency, RV right ventricular, CRT cardiac resynchronisation therapy, ICD implantable cardioverter defibrillator, LV left ventricular, PMT pacemaker-mediated tachycardia, PVC premature ventricular contraction, PAC premature atrial contraction