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More recently, similar safety outcomes were demonstrated with MRI conditional defibrillators (ICD), but the impact on ventricular arrhythmias has not been assessed. OBJECTIVE: To assess the effect of MR imaging on ICD sensing and treatment of ventricular tachyarrhythmias METHODS: The Evera MRI study was a world-wide trial of 156 patients implanted with an ICD designed to be MRI conditional. Device detected spontaneous and induced VT/VF episodes occurring prior to and following whole body MRI were evaluated by a blinded Episode Review Committee. Detection delay was computed as the sum of RR intervals of undersensed beats. A >/=5 second delay in detection due to undersensing was prospectively defined as clinically significant. RESULTS: Post-MRI, there were 22 polymorphic VT/VF episodes in 21 patients, with 16 of these patients having 17 VT/VF episodes prior to MRI. Therapy was successful for all episodes with no failures to treat or terminate arrhythmias. The mean detection delay due to undersensing pre- and post- MRI was 0.60 +/- 0.59 sec and 0.33 +/- 0.63 sec, respectively (p=0.17). The maximum detection delay was 2.19 seconds pre-MRI and 2.87 seconds post-MRI. Of the pre-MRI episodes, 14/17 (82%) had some detection delay vs. 11/22 (50%) in post-MRI episodes (p=0.03); no detection delay was clinically significant. CONCLUSION: Detection and treatment of VT/VF was excellent with no detection delays or significant impact of MRI observed. 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