Heart Rhythm TV Update: New Insights into AF Mediated Cardiomyopathy

[@bethb9248]

Sorry if this is slightly off topic -- I had a pulsed field ablation, and my EP had recommended (not required) a cardiac MRI. I declined because of the gadolinium exposure. Can an effective MRI be done without gadolinium? Thanks for what you do, I love this channel.

[@txules]

I’m an EP cardiologist too: What I don’t quite understand is the reason why your electrophysiologist is requesting a cardiac MRI after an ablation with PFA. In any case, a good MRI should include gadolinium contrast, as it not only provides structural information about the heart but also adds functional data. Moreover, opposed to undergoing an MRI with gadolinium, I would suggest having an echocardiogram instead. If an MRI is truly necessary (and it’s not just a matter of them wanting to bill you more), proceed with it in its complete form. Regards

[@bethb9248]

@@txules Thanks so much for your response!