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21. 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

22. 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

23. 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

24. 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

25. Remnant Pacemaker Lead Tips after Lead Extractions in Pacemaker Infections (PubMed)

Remnant Pacemaker Lead Tips after Lead Extractions in Pacemaker Infections Complete hardware removal is recommended in the case of patients with cardiovascular implantable electronic device (CIED) infections. However, the complete extraction of chronically implanted leads is not always achieved. The outcomes and optimal management of CIED infections with retained material after lead extractions have not been elucidated. In this case report, we present five patients with CIED infections

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2016 Korean circulation journal

26. Utilisation of cardiac pacemakers over a 20-year period: Results from a nationwide pacemaker registry (PubMed)

Utilisation of cardiac pacemakers over a 20-year period: Results from a nationwide pacemaker registry The implantation of cardiac pacemakers has become a well-established therapy for conduction disorders and sinus node dysfunction. In many countries pacemaker registries have been initiated in order to collect information on patient characteristics, trends in numbers and the types of pacemakers used, to identify problematic devices, and for safety monitoring. For this utilisation study (...) the Central Pacemaker Patients Registration (CPPR) from the Netherlands Pacemaker Registry Foundation (CPPR-SPRN) containing data collected for more than 20 years was used. During this period nearly 97,000 first pacemakers were implanted. Analyses show an increase in the rate of implanted devices. The change in pacemaker type from VVI to DDD, followed by biventricular stimulation, is reflected by the number of simultaneously implanted leads, which is partly a consequence of cardiac resynchronisation

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2016 Netherlands Heart Journal

27. Evaluation of Safety and Efficacy of Qinming8631 DR Implantable Cardiac Pacemaker in Chinese Patients: A Prospective, Multicenter, Randomized Controlled Trial of the First Domestically Developed Pacemaker of China. (PubMed)

Evaluation of Safety and Efficacy of Qinming8631 DR Implantable Cardiac Pacemaker in Chinese Patients: A Prospective, Multicenter, Randomized Controlled Trial of the First Domestically Developed Pacemaker of China. High cost of imported pacemakers is a main obstacle for Chinese patients suffering from bradyarrhythmia, and a domestically developed pacemaker will help lower the burden. This study aimed to evaluate the safety and efficacy of Qinming8631 DR (Qinming Medical, Baoji, China (...) ), the first domestically developed dual-chamber pacemaker of China, compared with a commercially available pacemaker Talos DR (Biotronik, Berlin, Germany) in Chinese patients.A prospective randomized trial was conducted at 14 centers in China. Participants were randomized into trial (Qinming8631 DR) and control (Talos DR) groups. Parameters of the pacing systems were collected immediately after device implantation and during follow-ups. The effective pacing rate at 6-month follow-up was recorded

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2016 Chinese medical journal

28. The pacemaker-twiddler’s syndrome: an infrequent cause of pacemaker failure (PubMed)

The pacemaker-twiddler’s syndrome: an infrequent cause of pacemaker failure The pacemaker-twiddler's syndrome is an uncommon cause of pacemaker malfunction. It occurs due to unintentional or deliberate manipulation of the pacemaker pulse generator within its skin pocket by the patient. This causes coiling of the lead and its dislodgement, resulting in failure of ventricular pacing. More commonly reported among elderly females with impaired cognition, the phenomenon usually occurs in the first (...) year following pacemaker implantation. Treatment involves repositioning of the dislodged leads and suture fixation of the lead and pulse generator within its pocket.An 87 year old Bangladeshi lady who underwent a single chamber ventricular pacemaker (VVI mode: i.e. ventricle paced, ventricle sensed, inhibitory mode) implantation with the indication of complete heart block, and presented to us again 7 weeks later, with syncopal attacks. She admitted to repeatedly manipulating the pacemaker generator

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2016 BMC research notes

29. Findings of an observational investigation of pure remote follow-up of pacemaker patients: is the in-clinic device check still needed?: Facchin, the pure pacemaker remote follow-up. (PubMed)

Findings of an observational investigation of pure remote follow-up of pacemaker patients: is the in-clinic device check still needed?: Facchin, the pure pacemaker remote follow-up. Device follow-up is mandatory in the care of patients with a pacemaker. However, in most cases, device checks appear to be mere technical, time-consuming procedures. The aim of this research is to evaluate whether remote follow-up can replace in-clinic device checks by assessing clinical outcomes for pacemaker (...) patients followed only via remote follow-up.Consecutive pacemaker patients followed with remote monitoring were prospectively included by 6 Italian cardiology centers in an observational investigation. The workflow for remote monitoring included an initial assessment by nursing staff and, when necessary, by a responsible physician for medical decisions. No in-person visits were scheduled after the start of remote monitoring. One-thousand and two-hundred and fifty one patients (30% female, 75±11years

2016 International journal of cardiology

30. Pacemakers are associated with a higher risk of late death and transplantation in the Fontan population. (PubMed)

Pacemakers are associated with a higher risk of late death and transplantation in the Fontan population. The need for permanent pacing has been identified as a predictor of poor outcomes in the late survivors of Fontan surgery. However, it is not clear if the need for a pacemaker is a surrogate marker of a declining Fontan state, or if pacing is deleterious to the Fontan circulation.We sought to compare the long-term outcomes of propensity-matched Fontan patients with and without a permanent (...) pacemaker.Patients who have survived Fontan completion with a documented history of cardiac arrhythmia were identified from the Australia and New Zealand Fontan Registry. Pacemaker insertion details, cardiac function and electrophysiological data were obtained for the patients with a permanent pacemaker. Survival analysis was performed with propensity score matching to compare late survival and outcomes in patients with versus without a pacemaker.There was a total of 310 patients with a history of cardiac

2019 International journal of cardiology

31. Sutureless aortic valve and pacemaker rate: from surgical tricks to clinical outcomes. (PubMed)

Sutureless aortic valve and pacemaker rate: from surgical tricks to clinical outcomes. Several studies reported high rates of postoperative permanent pacemaker (PPM) implantation, which has been described as the "Achilles' heel" of sutureless aortic valve replacement (AVR).From July 2010 to December 2017, 3158 patients with symptomatic, severe aortic valve stenosis were referred to our cardiac surgery center and 512 received a Perceval sutureless bioprosthesis. Thirty-nine patients who had been (...) discharged with concomitant PPM implantation were re-evaluated.After a cumulative follow-up of 1534 months (100% complete, median 50, IQR 30, max 76, min 3 months), a total of 22 patients were still pacemaker-dependent. Kaplan-Meier analysis showed pacemaker-dependent rhythm in 92.0%, 80.0%, 49.4%, and 32.3% of patients at 1, 2, 4, and 5 years, respectively. At Cox regression analysis, pressure during valve deployment [hazard ratio (HR) 79.41; p=0.0003] and "late-onset" atrioventricular block were found

2019 Annals of Thoracic Surgery

32. Leadless cardiac resynchronization therapy - an in-vivo proof-of-concept study of wireless pacemaker synchronization. (PubMed)

Leadless cardiac resynchronization therapy - an in-vivo proof-of-concept study of wireless pacemaker synchronization. Contemporary leadless pacemakers (PMs) only feature single-chamber ventricular pacing. However, the majority of patients require dual-chamber pacing or cardiac resynchronization therapy (CRT). Several leadless PMs implanted in the same heart would make that possible if they were able to synchronize their activity in an efficient, safe, and reliable way. Thus, a dedicated ultra

2019 Heart Rhythm

33. Medmastery: ICD vs brady pacemaker

Medmastery: ICD vs brady pacemaker ICD: ICD vs brady pacemaker • LITFL • Medmastery Podcast Emergency medicine and critical care medical education blog Search LITFL ... | | | ICD: ICD vs brady pacemaker , last update November 13, 2018 The team at are providing LITFL readers with a series of FOAMed courses from across their website. For the next few weeks, we’ll be posting videos from the . Today’s video explores the Implantable Cardioverter Defibrillator (ICD), and how they differ from brady (...) pacemakers. Further Reading Course : “ I’m an International Board of Heart Rhythm Examiners (IBHRE) certified specialist in cardiac pacemakers and ICDs, and the chief cardiac physiologist in a pacemaker clinic that carries out over 4,000 pacemaker checks per year. My passion is education, and I created THE PAD website, a popular resource for cardiology information, and wrote the book Pacemakers Made Easy . ” . Board-certified devices specialist from London. Author and cardiology education enthusiast

2018 Life in the Fast Lane Blog

34. Assessing the Risks Associated with MRI in Patients with a Pacemaker or Defibrillator. (PubMed)

Assessing the Risks Associated with MRI in Patients with a Pacemaker or Defibrillator. The presence of a cardiovascular implantable electronic device has long been a contraindication for the performance of magnetic resonance imaging (MRI). We established a prospective registry to determine the risks associated with MRI at a magnetic field strength of 1.5 tesla for patients who had a pacemaker or implantable cardioverter-defibrillator (ICD) that was "non-MRI-conditional" (i.e., not approved (...) settings.MRI was performed in 1000 cases in which patients had a pacemaker and in 500 cases in which patients had an ICD. No deaths, lead failures, losses of capture, or ventricular arrhythmias occurred during MRI. One ICD generator could not be interrogated after MRI and required immediate replacement; the device had not been appropriately programmed per protocol before the MRI. We observed six cases of self-terminating atrial fibrillation or flutter and six cases of partial electrical reset. Changes

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2017 NEJM

35. Safety and efficiency of a common and simplified protocol for pacemaker and defibrillator surveillance based on remote monitoring only: a long-term randomized trial (RM-ALONE). (PubMed)

Safety and efficiency of a common and simplified protocol for pacemaker and defibrillator surveillance based on remote monitoring only: a long-term randomized trial (RM-ALONE). This trial aimed to evaluate the safety and efficiency of a common and simplified protocol for the surveillance of cardiac implantable electronic devices based on remote monitoring (RM) in patients with pacemakers (PMs) and implantable cardiac defibrillators (ICDs) for at least 24 months.The RM-ALONE is a multicentre

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2019 European Heart Journal

36. Effect of peer support on health outcomes in patients with cardiac pacemaker implantation: A randomized, controlled trial. (PubMed)

Effect of peer support on health outcomes in patients with cardiac pacemaker implantation: A randomized, controlled trial. The aim of this study was to examine the effect of a nurse-led telephone-based peer support program on health outcomes in patients after cardiac pacemaker implantation. Seventy six patients who received cardiac pacemaker implantation were recruited as participants and randomly assigned to either the peer support group or the usual care group. The usual care group received (...) -attitudes-practice, postoperative anxiety and depression, and compliance with attending scheduled follow-up visits in the peer support group than in the usual care group. This study confirms that telephone-based peer support improves self-care ability, compliance with attending scheduled follow-up visits, and reduces postoperative anxiety and depression more effectively than conventional nurse care among patients with cardiac pacemaker implantation.© 2019 John Wiley & Sons Australia, Ltd.

2019 Nursing & health sciences

37. Effect of PR interval and pacing mode on persistent atrial fibrillation incidence in dual chamber pacemaker patients: a sub-study of the international randomized MINERVA trial. (PubMed)

Effect of PR interval and pacing mode on persistent atrial fibrillation incidence in dual chamber pacemaker patients: a sub-study of the international randomized MINERVA trial. Per standard of care, dual-chamber pacemakers are programmed in DDDR mode with fixed atrioventricular (AV) delay or with long AV delay to minimize ventricular pacing. We aimed to evaluate whether the PR interval may be a specific criterion of choice between standard DDDR, to preserve AV synchrony in long PR patients

2019 Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology

38. Increased risk of late pacemaker implantation after ablation for atrioventricular nodal reentry tachycardia. A 10-year follow up of a nationwide cohort. (PubMed)

Increased risk of late pacemaker implantation after ablation for atrioventricular nodal reentry tachycardia. A 10-year follow up of a nationwide cohort. Catheter ablation of the slow pathway is standard treatment for atrioventricular nodal reentry tachycardia (AVNRT), with a well-described, low risk for periprocedural atrioventricular block. Less is known about the risk of pacemaker implantation late after ablation.We aimed to quantify the risk of late pacemaker-implantation in a countrywide (...) cohort undergoing first-time ablation for AVNRT.All patients undergoing first-time ablation for AVNRT in Sweden from 2004-2014 were identified from the Swedish ablation registry and matched against the Swedish pacemaker registry. The cohort was compared to patients ablated for an accessory pathway (AP) and to matched controls.During follow-up of 2039 days, pacemaker was implanted later than 30 days after ablation in 96 of 6842 (1.4%) AVNRT patients, 29 of 4065 (0.7%) AP patients (p=0.001), and 124

2019 Heart Rhythm

39. Minimally Invasive Percutaneous Epicardial Placement of a Prototype Miniature Pacemaker with Leadlet under Direct Visualization: A Feasibility Study in an Infant Porcine Model. (PubMed)

Minimally Invasive Percutaneous Epicardial Placement of a Prototype Miniature Pacemaker with Leadlet under Direct Visualization: A Feasibility Study in an Infant Porcine Model. Pacemaker implantation in infants is limited to epicardial lead placement and an abdominal generator pocket. We propose a minimally invasive solution using a prototype miniature pacemaker with a steroid-eluting leadlet that can affix against the epicardium under thoracoscopy.To evaluate the safety and feasibility (...) of acute implantation of a prototype miniature pacemaker in an infant porcine model.A self-anchoring two-channel access port was inserted into a 1 cm incision left of the subxiphoid space. A rigid thoracoscope with variable viewing angle was inserted through the main channel to visualize the heart under insufflation. An 18-gauge needle through the second channel accessed the pericardial space, which was secured with a 7-French sheath. The leadlet was affixed against the epicardium using a distal

2019 Heart Rhythm

40. Insights into permanent pacemaker implantation following TAVR in a real-world cohort. (PubMed)

Insights into permanent pacemaker implantation following TAVR in a real-world cohort. Permanent pacemaker implantation (PPI) following TAVR is a frequent post interventional complication and its management remains controversial.We sought to elucidate the electrophysiological, procedural, and clinical baseline parameters that are associated with and perhaps predict the need for PPI after TAVR in a heterogeneous-valve-type real-world cohort.Overall, 494 patients receiving TAVR at our center from (...) and heterogeneous valve selection, and indicates for the first time that patients with post balloon dilatation or prolonged PR interval are at a higher risk for pacemaker dependency after TAVR.

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2018 PLoS ONE

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