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Pacemaker

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1. Pacemaker Essentials: How to Interpret a Pacemaker ECG

Pacemaker Essentials: How to Interpret a Pacemaker ECG Pacemaker Essentials: How to Interpret a Pacemaker ECG - CanadiEM Pacemaker Essentials: How to Interpret a Pacemaker ECG In , by Lorne Costello May 24, 2016 Is that pesky pacemaker still causing you trouble? It means well but sometimes it can rub emergency physicians the wrong way. Let’s shift our focus to the ECG, and hopefully we’ll discover some pearls to help us with these troublesome devices. This is part 2 of a 3 part series. Check (...) out part 1, “ ” if you haven’t already! If you’d like to download a personal version of the above infographic, . The Case It’s Saturday night and you are handed the following ECG. The patient is a 68-year-old male with chest pain. His past medical history is significant for a permanent pacemaker (PPM) that was placed for complete heart block three years ago. His vitals are stable. Does this person actually have a pacemaker? He could. This ECG shows normal sinus rhythm, and this does not rule out

2016 CandiEM

3. Remote Monitoring of Implantable Cardioverter-Defibrillators, Cardiac Resynchronization Therapy, and Permanent Pacemakers

Remote Monitoring of Implantable Cardioverter-Defibrillators, Cardiac Resynchronization Therapy, and Permanent Pacemakers Public Comment: Held April 5 to 26, 2018. Remote Monitoring of Implantable Cardioverter- Defibrillators, Cardiac Resynchronization Therapy, and Permanent Pacemakers: Health Quality Ontario Recommendation FINAL RECOMMENDATION • Health Quality Ontario, under the guidance of the Ontario Health Technology Advisory Committee, recommends publicly funding remote monitoring (...) for patients with implantable cardioverter-defibrillators, cardiac resynchronization therapy devices with or without a defibrillator, and permanent pacemakers RATIONALE FOR THE RECOMMENDATION There was consensus among the Ontario Health Technology Advisory Committee members that using remote monitoring improves clinical outcomes without affecting patients’ safety, it is good value for money, and patients report positive experiences with using remote monitoring. 1 Remote Monitoring of Implantable

2018 Health Quality Ontario

4. An enlarging pacemaker pocket: A case report of a plasmablastic lymphoma arising as a primary tumor around a cardiac pacemaker and systematic literature review of various malignancies arising at the pacemaker pocket (PubMed)

An enlarging pacemaker pocket: A case report of a plasmablastic lymphoma arising as a primary tumor around a cardiac pacemaker and systematic literature review of various malignancies arising at the pacemaker pocket To date, there have been limited reports of oncogenesis occurring within pacemaker pockets. We report the case of a 100-year-old male who presented to the emergency department complaining of expansion of his pacemaker pocket over the period of 8 days. Dissection of the pacemaker (...) pocket and pathological analysis of tissue samples revealed plasmablastic lymphoma, a subset of diffuse large B-cell lymphoma, commonly seen in immunocompromised elderly patients. This is the first known reported case of plasmablastic lymphoma occurring within a pacemaker pocket. pacemaker site. A thorough literature review of primary tumors arising around pacemakers is provided

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2017 Journal of cardiology cases

5. Micra transcatheter pacing system (Medtronic Inc.) for single-chamber pacemaker indications

Micra transcatheter pacing system (Medtronic Inc.) for single-chamber pacemaker indications Micra transcatheter pacing system (Medtronic Inc.) for single-chamber pacemaker indications Micra transcatheter pacing system (Medtronic Inc.) for single-chamber pacemaker indications HAYES, Inc Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation HAYES, Inc. Micra (...) transcatheter pacing system (Medtronic Inc.) for single-chamber pacemaker indications. Lansdale: HAYES, Inc. Healthcare Technology Brief Publication. 2017 Authors' conclusions Health Problem: Inadequate slow heart rates (i.e., bradycardia) due to atrioventricular (AV) dysfunction or sinus node dysfunction may result in hemodynamic consequences. A permanent cardiac pacemaker (PM) is the definitive treatment for symptomatic bradycardia that is not caused by underlying disorders or medication. However, overall

2017 Health Technology Assessment (HTA) Database.

6. Leadless pacemakers for right ventricle pacing. Update 2017

Leadless pacemakers for right ventricle pacing. Update 2017 Leadless pacemakers for right ventricle pacing. Update 2017 Leadless pacemakers for right ventricle pacing. Update 2017 Semlitsch T, Posch N Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Semlitsch T, Posch N. Leadless pacemakers for right ventricle pacing. Update 2017. Vienna (...) : Ludwig Boltzmann Institut fuer Health Technology Assessment (LBIHTA). Decision Support Document. 2017 Authors' objectives This report is the first update of the systematic review on "Leadless pacemakers for right ventricle pacing" prepared in March 2016. Leadless cardiac pacemakers are miniaturised, self-contained intracardiac devices that can be implanted entirely inside the right ventricle of the heart. The expected benefit is the avoidance of complications associated with external pulse generators

2017 Health Technology Assessment (HTA) Database.

7. Midterm Safety and Performance of a Leadless Cardiac Pacemaker: 3-Year Follow-up to the LEADLESS Trial (Nanostim Safety and Performance Trial for a Leadless Cardiac Pacemaker System). (PubMed)

Midterm Safety and Performance of a Leadless Cardiac Pacemaker: 3-Year Follow-up to the LEADLESS Trial (Nanostim Safety and Performance Trial for a Leadless Cardiac Pacemaker System). 29431664 2018 02 12 1524-4539 137 6 2018 Feb 06 Circulation Circulation Midterm Safety and Performance of a Leadless Cardiac Pacemaker: 3-Year Follow-up to the LEADLESS Trial (Nanostim Safety and Performance Trial for a Leadless Cardiac Pacemaker System). 633-635 10.1161/CIRCULATIONAHA.117.030106 Tjong Fleur V Y (...) .). Reddy Vivek Y VY Helmsley Electrophysiology Center, Mount Sinai School of Medicine, New York, NY (V.Y.R.). eng Letter United States Circulation 0147763 0009-7322 arrhythmias, cardiac cardiac pacing, artificial long term adverse effects pacemaker, artificial 2018 2 13 6 0 2018 2 13 6 0 2018 2 13 6 0 ppublish 29431664 CIRCULATIONAHA.117.030106 10.1161/CIRCULATIONAHA.117.030106

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2018 Circulation

8. Living with a pacemaker: patient-reported outcome of a pacemaker system. (PubMed)

Living with a pacemaker: patient-reported outcome of a pacemaker system. The aim of this study was to assess among pacemaker patients their overall satisfaction with the pacemaker system, pain, soreness/discomfort, cosmetic results, restrictions due to impaired movement of the shoulder/arm/chest, related sleep disturbances, and concern about possible device malfunction.The seven-item questionnaire was mailed to patients from a single center who had a pacemaker implant or replacement between (...) associated with reoperation (but not other variables). Overall scores for men and women were 5 vs. 6, respectively, which achieved significance (p = 0.042). Median ratings of pain, soreness/discomfort, cosmetic appearance, range of motion, sleep, and concern about device malfunction were all ≤5. Females reported worse outcomes for all questions, except for cosmetic results and concern about malfunction.The vast majority of patients report excellent overall satisfaction with the pacemaker system

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2018 BMC Cardiovascular Disorders

9. Leadless pacemaker implantation after explantation of infected conventional pacemaker systems: A viable solution? (PubMed)

Leadless pacemaker implantation after explantation of infected conventional pacemaker systems: A viable solution? Conventional cardiac device infections are increasing in incidence, causing significant morbidity and mortality. Leadless pacemaker (LP) therapy may provide new opportunities for the management of pacemaker (PM) infections as it does not require implantation of transvenous leads and a pectoral pocket.We sought to evaluate the effect of early and late LP implantation in patients (...) diagnosed with device infection.Patients receiving an LP at our center after conventional PM lead extraction due to infection between December 1, 2013 and November 30, 2017 were included.A total of 17 patients (mean age 77.4 ± 7.77 years) underwent LP implantation (ie, 11 with Nanostim leadless cardiac pacemaker [Abbott, Chicago, IL] and 6 with Micra transcatheter pacing system [Medtronic, Minneapolis, MN]) after successful PM system explantation. In 9 PM-dependent patients, a temporary transvenous

2018 Heart Rhythm

10. Leadless Pacemaker Versus Transvenous Single-Chamber Pacemaker Therapy: A Propensity Matched Analysis. (PubMed)

Leadless Pacemaker Versus Transvenous Single-Chamber Pacemaker Therapy: A Propensity Matched Analysis. The recent introduction of leadless pacemakers (PMs) was aimed to eliminate transvenous lead- and pocket-related complications. While the initial results with the leadless PMs seem promising, the nonrandomized nature, limited implant experience of operators, and short follow-up period of these studies preclude a simple comparison to transvenous PMs.The objective of this study was to provide

2018 Heart Rhythm

11. Leadless pacemakers for right ventricle pacing

Leadless pacemakers for right ventricle pacing Leadless pacemakers for right ventricle pacing Leadless pacemakers for right ventricle pacing Kisser A, Emprechtinger R Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Kisser A, Emprechtinger R. Leadless pacemakers for right ventricle pacing. Vienna: Ludwig Boltzmann Institut fuer Health (...) Technology Assessment (LBIHTA). Decision Support Document No. 97. 2016 Project page URL Final publication URL Additional data URL Indexing Status Subject indexing assigned by CRD MeSH Cardiac Pacing, Artificial; Heart Ventricles; Humans; Pacemaker, Artificial Language Published English Country of organisation Austria English summary An English language summary is available. Address for correspondence Ludwig Boltzmann Institute fuer Health Technology Assessment (LBI-HTA), Garnisongasse 7 rechte Stiege

2016 Health Technology Assessment (HTA) Database.

12. Leadless cardiac pacemaker implantation for bradyarrhythmias

Leadless cardiac pacemaker implantation for bradyarrhythmias L Leadless cardiac pacemak eadless cardiac pacemaker implantation for er implantation for br bradyarrh adyarrhythmias ythmias Interventional procedures guidance Published: 29 August 2018 nice.org.uk/guidance/ipg626 Y Y our responsibility our responsibility This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected (...) , and foster good relations. Nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. 1 1 Recommendations Recommendations 1.1 Evidence on the safety of leadless cardiac pacemaker implantation for bradyarrhythmias shows

2018 National Institute for Health and Clinical Excellence - Interventional Procedures

13. Evaluation of Atrial Fibrillation Occurrence in Sick Sinus and Complete Atrioventricular Block Patients After Pacemaker Implantation (AF-pacemaker Study)

Evaluation of Atrial Fibrillation Occurrence in Sick Sinus and Complete Atrioventricular Block Patients After Pacemaker Implantation (AF-pacemaker Study) Evaluation of Atrial Fibrillation Occurrence in Sick Sinus and Complete Atrioventricular Block Patients After Pacemaker Implantation (AF-pacemaker Study) - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail (...) Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Evaluation of Atrial Fibrillation Occurrence in Sick Sinus and Complete Atrioventricular Block Patients After Pacemaker Implantation (AF-pacemaker Study) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government

2017 Clinical Trials

14. Next-generation pacemakers: from small devices to biological pacemakers. (PubMed)

Next-generation pacemakers: from small devices to biological pacemakers. Electrogenesis in the heart begins in the sinoatrial node and proceeds down the conduction system to originate the heartbeat. Conduction system disorders lead to slow heart rates that are insufficient to support the circulation, necessitating implantation of electronic pacemakers. The typical electronic pacemaker consists of a subcutaneous generator and battery module attached to one or more endocardial leads. New leadless (...) pacemakers can be implanted directly into the right ventricular apex, providing single-chamber pacing without a subcutaneous generator. Modern pacemakers are generally reliable, and their programmability provides options for different pacing modes tailored to specific clinical needs. Advances in device technology will probably include alternative energy sources and dual-chamber leadless pacing in the not-too-distant future. Although effective, current electronic devices have limitations related to lead

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2017 Nature reviews. Cardiology

15. Rescue Leadless Pacemaker Implantation in a Pacemaker-Dependent Patient with Congenital Heart Disease and no Alternative Routes for Pacing (PubMed)

Rescue Leadless Pacemaker Implantation in a Pacemaker-Dependent Patient with Congenital Heart Disease and no Alternative Routes for Pacing Congenital heart disease patients are considered a unique group of patients regarding their high risk of conduction abnormalities , whether de novo or surgically induced , and the challenges in both implantation and management of device related complications. We present a case of a pacemaker-dependent patient with congenital heart disease who experienced

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2017 Journal of atrial fibrillation

16. Transvenous dual‐chamber pacemaker after paediatric heart transplantation using left ventricle pacing through the coronary sinus (PubMed)

Transvenous dual‐chamber pacemaker after paediatric heart transplantation using left ventricle pacing through the coronary sinus A 12-year-old child with end-stage heart failure due to restrictive cardiomyopathy was submitted to orthotopic heart transplantation. Primary graft dysfunction required venous arterial extra-corporeal membrane oxygenation. Heart function normalized, but complete atrioventricular block remained after 3 weeks. A dual-chamber pacing with transvenous left ventricle

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2018 ESC heart failure

17. Patients' experiences of remote communication after pacemaker implant: The NORDLAND study. (PubMed)

Patients' experiences of remote communication after pacemaker implant: The NORDLAND study. The concept of 'patient experience' has become central to how to improve healthcare. Remote communication with patients is today a frequent practice in healthcare services, showing similar outcomes to standard outpatient care while enabling cost reduction in both formal and informal care. The purpose of this study was to analyse the experiences of people with telemonitoring pacemakers.Patients were (...) randomly allocated to either the telemonitoring or hospital monitoring follow-ups. Using the 'Generic Short Patient Experiences Questionnaire' (GS-PEQ), as well as an ad-hoc survey from the 'telehealth patient satisfaction survey' and 'costs survey', patients' experiences were measured six months after the pacemaker implant in a cohort of 50 consecutive patients. The mean age was 74.8 (± 11.75) years and 26 (52%) patients were male of which 1 was lost in follow-up. Finally, 24 patients were followed up

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2019 PLoS ONE

18. Naringenin inhibits pacemaking activity in interstitial cells of Cajal from murine small intestine (PubMed)

Naringenin inhibits pacemaking activity in interstitial cells of Cajal from murine small intestine Naringenin (NRG) is a common dietary polyphenolic constituent of fruits. NRG has diverse pharmacological activities, and is used in traditional medicine to treat various diseases including gastrointestinal (GI) disorders. Interstitial cells of Cajal (ICCs) are pacemaker cells of the GI tract. In this study, the authors investigated the effects of NRG on ICCs and on GI motility in vitro (...) and in vivo.ICCs were dissociated from mouse small intestines by enzymatic digestion. The whole-cell patch clamp configuration was used to record pacemaker potentials in cultured ICC clusters. The effects of NRG on GI motility were investigated by calculating percent intestinal transit rates (ITR) using Evans blue in normal mice.NRG inhibited ICC pacemaker potentials in a dose-dependent manner. In the presence of tetraethylammonium chloride or iberiotoxin, NRG had no effect on pacemaker potentials

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2017 Integrative medicine research

19. End-of-life Management of Leadless Cardiac Pacemaker Therapy (PubMed)

End-of-life Management of Leadless Cardiac Pacemaker Therapy The clinically available leadless pacemakers for patients with a single-chamber pacing indication have shown to be safe and effective. However, the optimal end-of-life strategy of this novel technique is undefined. Suggested strategies comprise of (a) placing an additional leadless device adjacent to the leadless pacemaker, or (b) retrieving the non-functioning leadless pacemaker and subsequently implanting a new device. Although (...) initial studies demonstrate promising results, early experience of acute and mid-term retrieval feasibility and safety remains mixed. We suggest that the approach of leadless pacemaker retrieval is more appealing to limit the amount of non-functioning intracardiac hardware. In addition, potential risks for device-device interference, and unknown long-term complications associated with multiple intracardiac devices are prevented. The potential inability to retrieve chronically implanted leadless

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2017 Arrhythmia & electrophysiology review

20. A systematic review on the use of pacemakers in paediatrics

A systematic review on the use of pacemakers in paediatrics Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr

2019 PROSPERO

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