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CARDIOLOGY ORDER FORMMedtronic Sure Scan Pacing, ICD, and CRT Patient Name: DOB: 1. Your patient has an MRI ordered. Please confirm that your patient has a Medtronic Sure Scan Pacing/ICD/CRT System,
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Medtronic Surescan Pacing ICD is a type of implantable cardioverter defibrillator with MRI compatibility.
Healthcare professionals and medical facilities are required to file Medtronic Surescan Pacing ICD reports.
Medtronic Surescan Pacing ICD reports can be filled out electronically or on paper forms provided by the manufacturer.
The purpose of Medtronic Surescan Pacing ICD is to monitor and treat abnormal heart rhythms.
Information such as patient demographics, device settings, and any recorded events must be reported on Medtronic Surescan Pacing ICD reports.
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