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Background Pacemaker/AICD use may no longer be prohibitive in the MRI environment. Seminal work by us and others has pointed towards increasing safety and specifically, the marked additive clinical value. Historically, only extraordinarily high-risk patients with acute life-threatening diagnoses were imaged. However, over time, we began to note an interesting trend as our understanding, science and comfort level admixed with zero-event rate almost imperceptibly causes us to ‘relax’ the mandate for ‘acuity’. We wondered, “Has imaging a patient with a pacemaker that was once considered a last resort procedure started to evolve into a ‘routine’ study?

Considerations on imaging the PM/AICD patient; are we entering a new era? An evolutionary report of our first 100 Patients