2015 ACR/ACC/AHA/AATS/ACEP/ASNC/NASCI/SAEM/SCCT/SCMR/SCPC/SNMMI/STR/STS Appropriate Utilization of Cardiovascular Imaging in Emergency Department Patients With Chest Pain

Rybicki, Frank J.; Udelson, James E.; Peacock, W. Frank; Goldhaber, Samuel Z.; Isselbacher, Eric M.; Kazerooni, Ella A.; Kontos, Michael C.; Litt, Harold; Woodard, Pamela K.; Alpert, Joseph S.; Andrews, Gordon; Chen, Edward P.; Cooke, David T.; Cury, Ricardo C.; Edmundowicz, Daniel; Ferrari, Victor A.; Graff, Louis; Hollander, Judd E.; Klein, Lloyd W.; Leipsic, Jonathan; Levy, Phillip D.; Mahmarian, John J.; Rosenberg, Craig A.; Rubin, Geoffrey D.; Ward, R. Parker; White, Charles S.; Yucel, Evin; Carr, J. Jeffrey; White, Richard D.; Patel, Manesh R.; Douglas, Pamela S.; Hendel, Robert C.; Kramer, Christopher M.; Doherty, John U.

doi:10.1016/j.jacr.2015.07.007

Cited by 37 publications

(11 citation statements)

References 158 publications

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“…Nevertheless, standard CIEDs are not FDA‐approved for MRI imaging and carry product‐label contraindications. Furthermore, imaging is not endorsed by recent guidelines of the American College of Radiology or American College of Cardiology …”

Section: Discussionmentioning

confidence: 99%

“…Given safety concerns, MRI imaging in patients with cardiac electronic devices (CIEDs; i.e., pacemaker or implantable cardioverter defibrillator [ICD]) initially was absolutely contraindicated, and it continues to be not recommended for most CIED patients . For over a decade, our institution has permitted consideration of MRI in patients with nonconditional CIEDs (i.e., devices not FDA‐approved under MRI‐specified conditions).…”

Section: Introductionmentioning

confidence: 99%

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Real world MRI experience with nonconditional and conditional cardiac rhythm devices after MagnaSafe

Mason

Osborn

Dhar

et al. 2017

Cardiovasc electrophysiol

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Introduction:The recent MagnaSafe Registry demonstrated safety of nonthoracic magnetic resonance imaging (MRI) with nonconditional cardiac implantable electronic devices (CIEDs). However, independent validation and extension to thoracic MRIs are needed. Methods and results: Conclusion:In a real-world MRI experience in patients with CIEDs representing a broad range of models, types, and scan sites (including thoracic scans), no adverse safety signals were noted.This experience validates and extends that of the large but inclusion-restricted MagnaSafe Registry, profiles MRI scanning in CIED patients in general clinical practice, and argues against replacing nonconditional with conditional devices when MRI is performed in a carefully controlled environment.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Real world MRI experience with nonconditional and conditional cardiac rhythm devices after MagnaSafe

Mason

Osborn

Dhar

et al. 2017

Cardiovasc electrophysiol

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show abstract

“…CCTA is generally contraindicated in patients presenting with high-risk ACS and is not recommended as the first-line investigation for suspected acute SCAD. 143,147,148 Moreover, normal results on CCTA do not exclude SCAD. Coronary dissection seen on retrospective evaluation of initially negative CCTA images after SCAD was angiographically proved 149 reinforces the need for CCTA or “triple rule-out” protocols that include CCTA to be interpreted with great caution when SCAD is in the differential diagnosis as a means to minimize false-negative results.…”

Section: Diagnosismentioning

confidence: 99%

Spontaneous Coronary Artery Dissection: Current State of the Science: A Scientific Statement From the American Heart Association

Hayes¹,

Kim²,

Saw³

et al. 2018

Circulation

937

1,344

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Spontaneous coronary artery dissection (SCAD) has emerged as an important cause of acute coronary syndrome, myocardial infarction, and sudden death, particularly among young women and individuals with few conventional atherosclerotic risk factors. Patient-initiated research has spurred increased awareness of SCAD, and improved diagnostic capabilities and findings from large case series have led to changes in approaches to initial and long-term management and increasing evidence that SCAD not only is more common than previously believed but also must be evaluated and treated differently from atherosclerotic myocardial infarction. High rates of recurrent SCAD; its association with female sex, pregnancy, and physical and emotional stress triggers; and concurrent systemic arteriopathies, particularly fibromuscular dysplasia, highlight the differences in clinical characteristics of SCAD compared with atherosclerotic disease. Recent insights into the causes of, clinical course of, treatment options for, outcomes of, and associated conditions of SCAD and the many persistent knowledge gaps are presented.

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“…This choice includes weighing relative contraindications due to conditions (such as marked obesity, atrial fibrillation, extensive coronary calcification, or a patient's inability to cooperate) that degrade image quality. Case selection should incorporate the appropriate use criteria formulated collaboratively by the ACC and other organizations .…”

Section: Modality‐specific Dose Reduction Strategiesmentioning

confidence: 99%

2018 ACC/HRS/NASCI/SCAI/SCCT Expert Consensus Document on Optimal Use of Ionizing Radiation in Cardiovascular Imaging: Best Practices for Safety and Effectiveness

Hirshfeld¹,

Ferrari²,

Bengel

et al. 2018

Cathet Cardio Intervent

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2015 ACR/ACC/AHA/AATS/ACEP/ASNC/NASCI/SAEM/SCCT/SCMR/SCPC/SNMMI/STR/STS Appropriate Utilization of Cardiovascular Imaging in Emergency Department Patients With Chest Pain

Cited by 37 publications

References 158 publications

Real world MRI experience with nonconditional and conditional cardiac rhythm devices after MagnaSafe

Real world MRI experience with nonconditional and conditional cardiac rhythm devices after MagnaSafe

Spontaneous Coronary Artery Dissection: Current State of the Science: A Scientific Statement From the American Heart Association

2018 ACC/HRS/NASCI/SCAI/SCCT Expert Consensus Document on Optimal Use of Ionizing Radiation in Cardiovascular Imaging: Best Practices for Safety and Effectiveness

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