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1964

Fortis Hospitals Performs Citys First MRI Compatible Pacemaker On An 80 Year Old Gentleman

Heart patients with rhythm disturbance or commonly called as Arrhythmia who needs to undergo a pacemaker implant can now opt for an MRI Compatible Pacemaker. Dr. Venketesh, Interventional Cardiologist from Fortis Hospitals Bannerghatta Road has successfully implanted the latest MR compatible pacemaker procedure on an 80 year old gentleman.

Important Facts:

* 1 million people worldwide get pacemaker implanted every year
* 50-75% of these patients need an MRI scan during lifetime of the device
* After age 65, a persons chance of needing MRI doubles
* MRI is an accurate diagnostic tool and gives information that cannot be seen on an X-Ray, Ultrasound or CT Scan


Before this procedure, cardiac patients with pacemaker was barred from undergoing any MR scanning as exposure to magnetic radiation can lead to serious complications in the patients. However with this newly introduced technological advanced implant patients can easily undergo MRI at any given point in time.

Mr. Rangan, an 80 year old gentleman, hypertensive for almost a decade was suffering from frequent episodes of giddiness and fainting. Upon diagnosis it was revealed that he had a complete heart block - a condition where the heart rhythms / beats are irregular and upper and lower chambers of the heart beat independent to each other. This disassociation of the heart beats led Mr. Rangans pulse rate go down to 28-30bpm which proved to be life threatening for him. Mr. Rangan was advised to undergo a pacemaker implantation to correct the rhythm disturbances in his heart. Considering the old age and the probability of the need to undergo an MRI in the future doctors gave Mr. Rangan the option of MRI compatible pacemaker. Eventually Mr. Rangan successfully underwent the procedure and was discharged from the hospital within three days and now is leading a complete normal life.

The MRI-compatible pacemaker will be a boon for patient, who has rhythm disturbances and needs a pacemaker, this generally occurs at an elderly age group above 50 years. These patients usually require an MRI for several conditions, the most common being brain, spine, joints and abdomen. Up until now they could not undergo an MRI scan for their entire life with the regular pacemaker said Dr. Venketesh, Interventional Cardiologist, Fortis Hospitals.

He also added This procedure offers safety to the patient and eliminates the inconvenience of frequent follow ups. The automatic feature in the implant automatically calibrates depending on the disease pattern of the patient saving the patient from any kind of risk or emergency.

Considering that millions of patients in India get a pacemaker implanted every year and according to the estimates 50-75% out of these patients need an MRI scan during the lifetime of their device, the new innovation will be a boon to the patients.

MRI is the standard of care for soft tissue imaging. It is the primary tool in evaluating the central nervous system, the entire range of musculoskeletal disorders, tumors, areas of infection, internal organs and more. Because of this patients with pre-existing comorbidity in one of the following areas may require an MRI

* Oncology
* Neurology
* Orthopedics
* Cardiovascular (stroke-related)
* Patients with a known condition that will likely require an MRI (e.g.: pituitary disease, multiple sclerosis, high thromboembolic risk etc)


An MRI compatible pacemaker will ensure that these patients can safely receive the diagnostic imaging. Since a substantial number of patients are denied MR scan because of the pacemaker implant they are at a huge risk of comorbid conditions as accurate diagnosis is not possible without an MRI. Hence this new device can eliminate such a risk and help the patients undergo magnetic radiation imaging safely.  
 
 

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