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患有心脏植入式电子设备的患者对MRI的访问是可变的,并且在澳大利亚是一个问题
Nicholas Page1, Karin Chia2, David Brazier2
1The University of Sydney, Sydney, NSW, Australia.
Heart, lung & circulation
|February 7, 2024
概括
大多数澳大利亚医院扫描MR条件的心脏植入式电子设备 (CIED),但对非MR条件的CIED的访问是有限的. 障碍包括缺乏国家指导方针和培训,阻碍CIED患者获得MRI.
科学领域:
- 心脏病学 心脏病学
- 放射学 放射学是一门学科.
- 医疗器械技术 医疗器械技术
背景情况:
- 心脏植入式电子设备 (CIED) 越来越常见.
- 磁共振成像 (MRI) 提供了先进的诊断功能.
- 同时使用MRI和CIED带来了独特的安全和访问挑战.
研究的目的:
- 评估澳大利亚医院MR条件和非MR条件CIED患者的MRI接入.
- 确定限制这些患者MRI访问的障碍.
主要方法:
- 对38家澳大利亚第三级推公立医院的调查,使用混合方法问卷.
- 收集关于不同CIED类型的MRI供应,监测协议和人员的数据.
- 对影响CIED患者MRI访问障碍的调查.
主要成果:
- 在接受调查的医院中,92%的医院做出了回应.
- 85.7%的扫描MR条件CIED,但往往排除某些患者 (例如,ICD) 或胸部扫描 (21%).
- 只有8.6%的扫描非MR条件的CIED;80%需要在扫描期间使用高级心脏生命支持人员.
结论:
- 大多数澳大利亚医院为MR条件CIED提供MRI,但有局限性.
- 对于非MR条件CIEDs的MRI访问非常有限.
- 国家指导方针,正式培训和后勤支持对于克服障碍和扩大所有CIED患者的MRI访问至关重要.
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