RESUMO
The presence of a pacemaker or an implantable cardioverter-defibrillator was historically considered a contraindication to magnetic resonance imaging (MRI), due to the risks for both patient and device: reed-switch closure responsible for asynchronous pacing, inhibition of pacing, rapid ventricular pacing, heating on the lead tip or even device displacement... However, many recent studies demonstrate that if MRI is crucial for the management of the patient, it can be performed under specific monitoring and scanning conditions and after device reprogramming. The growing implication of device constructors in constructing a MRI safety device will perhaps extend in the future the indications of this imaging modality in implanted patients.
Assuntos
Doenças Cardiovasculares/terapia , Desfibriladores Implantáveis , Imageamento por Ressonância Magnética , Marca-Passo Artificial , Doenças Cardiovasculares/diagnóstico , Desfibriladores Implantáveis/efeitos adversos , Campos Eletromagnéticos/efeitos adversos , Segurança de Equipamentos , Medicina Baseada em Evidências , Humanos , Imageamento por Ressonância Magnética/efeitos adversos , Marca-Passo Artificial/efeitos adversos , Seleção de Pacientes , Medição de Risco , Fatores de RiscoRESUMO
There is a strong prevalence of sleep apnoea syndrome in general population. Cardiac arrhythmia and conduction disturbances during sleep may complicate this syndrome. We report the case of a 73-year-old patient to whom the sleep apnoea syndrome was diagnosed after varied heart blocks during the sleep. A treatment by continuous positive airway pressure (CPAP) permitted to correct these conduction disturbances and to avoid pacemaker implantation.
Assuntos
Bloqueio Cardíaco/complicações , Apneia Obstrutiva do Sono/complicações , Apneia Obstrutiva do Sono/diagnóstico , Idoso , Pressão Positiva Contínua nas Vias Aéreas , Bloqueio Cardíaco/fisiopatologia , Bloqueio Cardíaco/terapia , Humanos , Masculino , Apneia Obstrutiva do Sono/terapiaRESUMO
We report a 29-year-old woman with an acute myocarditis documented by MRI as presenting manifestation of a pheochromocytoma, and we review the literature.