Evidence map›Paper›PMID 34402991›Full record

ArticleWiener klinische Wochenschrift2022

Is diversity harmful?-Mixed-brand cardiac implantable electronic devices undergoing magnetic resonance imaging.

Christoph Alexander König, Florian Tinhofer, Thomas Puntus, Achim Leo Burger, Nikolaus Neubauer, Herbert Langenberger, Kurt Huber, Michael Nürnberg, David Zweiker

Open access · hybridAbstract read
In one paragraph

Article in Wiener klinische Wochenschrift, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. EHRA consensus on prevention and management of interference due to medical procedures in patients with cardiac implantable electronic devices.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Christoph Alexander König3rd Department of Medicine, Cardiology and Intensive Care Medicine, Klinik Ottakring (Wilhelminenhospital), Montleartstraße 37, 1160, Vienna, Austria.
Florian Tinhofer3rd Department of Medicine, Cardiology and Intensive Care Medicine, Klinik Ottakring (Wilhelminenhospital), Montleartstraße 37, 1160, Vienna, Austria.
Thomas Puntus3rd Department of Medicine, Cardiology and Intensive Care Medicine, Klinik Ottakring (Wilhelminenhospital), Montleartstraße 37, 1160, Vienna, Austria.
Achim Leo Burger3rd Department of Medicine, Cardiology and Intensive Care Medicine, Klinik Ottakring (Wilhelminenhospital), Montleartstraße 37, 1160, Vienna, Austria.
Nikolaus NeubauerInstitute for Diagnostic and Interventional Radiology, Klinik Ottakring (Wilhelminenhospital), Vienna, Austria.
Herbert LangenbergerInstitute for Diagnostic and Interventional Radiology, Klinik Ottakring (Wilhelminenhospital), Vienna, Austria.
Kurt Huber3rd Department of Medicine, Cardiology and Intensive Care Medicine, Klinik Ottakring (Wilhelminenhospital), Montleartstraße 37, 1160, Vienna, Austria.
Michael Nürnberg3rd Department of Medicine, Cardiology and Intensive Care Medicine, Klinik Ottakring (Wilhelminenhospital), Montleartstraße 37, 1160, Vienna, Austria.
David Zweiker3rd Department of Medicine, Cardiology and Intensive Care Medicine, Klinik Ottakring (Wilhelminenhospital), Montleartstraße 37, 1160, Vienna, Austria. david.zweiker@medunigraz.at.ORCID http://orcid.org/0000-0002-7479-7767
Wilhelminen Hospital · ATMedical University of Graz · ATSigmund Freud Privatuniversität Wien · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany patients with cardiac implantable electronic devices (CIED) undergo magnetic resonance imaging (MRI); however, a relevant proportion have a CIED system that has not been classified as MRI-conditional because of generators and leads from different brands (mixed-brand group). The available data concerning the outcome of these mixed patients undergoing MRI is limited.

methodsA retrospective single center study, including all patients with CIEDs undergoing MRI between January 2013 until May 2020, was performed. Primary endpoints were defined as death or any adverse event necessitating hospitalization or CIED revision. Secondary endpoints were the occurrence of any sign for beginning device or lead failure or patient discomfort during MRI.

resultsA total of 227 MRI examinations, including 10 thoracic MRIs, were carried out in 158 patients, with 1-9 MRIs per patient. Of the patients 38 underwent 54 procedures in the mixed-brand group and 89 patients underwent 134 MRIs in the MRI-conditional group. Of the patients 31 were excluded since the MRI conditionality could not be determined. No primary endpoints occurred within the mixed-brand group but in 2.2% of the MRI-conditional group (p = 1.000), with 2 patients developing new atrial fibrillation during MRI, of whom one additionally had a transient CIED dysfunction. No secondary endpoints were met in the mixed-brand group compared to 3.4% in the MRI-conditional group (p = 0.554). No complications occurred in the excluded patients.

conclusionThe complication rate of CIED patients undergoing MRI was low. Patients with a mixed CIED system showed no signs of increased risk of adverse events compared to patients with MRI-conditional CIED systems.

Indexed as

Defibrillators, ImplantablePacemaker, ArtificialElectronicsHumansMagnetic Resonance ImagingRetrospective StudiesDefibrillatorMagnetic resonance imagingMRI-conditionalPacemakerSafety

Identifiers

PMID34402991
PMCPMC9023390
OpenAlexW3196183447

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.