Subcutaneous Implantable Cardioverter Defibrillator in Patients with Cardiomyopathy

Subcutaneous Implantable Cardioverter Defibrillator in a Patient with Pacemaker

“…Further studies have demonstrated that MRI could be performed with no significant clinical effects and no differences in the type and number of complications in patients who had a pacemaker that was non-MRI-compatible compared with patients with MRI-compatible devices, taking the necessary precautions and applying a safety protocol. (3,4) This protocol consists in programming the pacemaker to an asynchronous pacing mode in pacingdependent patients, or inhibiting it (turning it off) in non-pacing-dependent cases, and in the inhibition of tachycardia monitoring and deactivation of therapies in patients with defibrillators. ( 4)…”

“…(5) However, two recently published studies that included more than 2,500 patients who received MRI with 1.5 T scanner showed no significant complications applying the safety protocol. (3,4) It should be pointed out that devices implanted before certain dates (pacemakers prior to 1998 or defibrillators prior to 2000) were taken as contraindication in these studies.…”

“…tiousness of COVID-19 and the increasing lack of personal protective equipment (PPE) due to the collapse of health systems, healthcare professionals are more exposed to COVID-19 infection, with alarming rates of contagion and morbidity and mortality. (2,3) The severe shortage of PPE has greatly increased the risk of infection for healthcare personnel, with disturbing rates of doctors and nurses infected in China, Italy, and Spain. (1)(2)(3) Infected patients produce respiratory secretions and potentially transmit the disease when speaking, coughing, and sneezing, or when undergoing medical procedures that generate aerosols, such as orotracheal intubation or transesophageal echocardiography (TEE).…”

“…(2,3) The severe shortage of PPE has greatly increased the risk of infection for healthcare personnel, with disturbing rates of doctors and nurses infected in China, Italy, and Spain. (1)(2)(3) Infected patients produce respiratory secretions and potentially transmit the disease when speaking, coughing, and sneezing, or when undergoing medical procedures that generate aerosols, such as orotracheal intubation or transesophageal echocardiography (TEE). ( 4)…”

“…This is beneficial in certain scenarios, such as young patients and patients with poor ventricular function. (1,2,3) The integrity of the posterior leaflet and the mitral valve anterior leaflet free edge is required when choosing this procedure. (2) As a result of intraoperative findings, this procedure should be considered in the following cases: • Invasive double-valve infective endocarditis.…”