#140 Bonus Pacemaker & ICDs: 5 Pearls Segment
Core IM | Internal Medicine Podcast
Protocol Precision Preserves Patient Safety
Patients with pacemakers and ICDs can safely undergo MRI scans, provided there is proper involvement in reprogramming and monitoring the device during the procedure. When managing anticoagulation for patients requiring a pacemaker or ICD, it is essential to avoid interruptions in DOAC therapy, as recent literature and randomized trials indicate that doing so is safer than switching to heparin. Specifically, interventional cardiology and electrophysiology guidelines recommend avoiding heparin during these procedures, highlighting the importance of adhering to evidence-based protocols in patient care.
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