Review
Cardiac & Cardiovascular Systems
Grzegorz Slawinski, Maciej Kempa, Andrzej Przybylski
Summary: The importance of CIEDs in treating cardiac rhythm disturbances, heart failure, and preventing sudden cardiac death is undeniable. However, CIED therapy is associated with complications, particularly infections, which have a significant impact on prognosis. This review summarizes current knowledge on diagnosing and managing CIED infections and also discusses alternative methods like subcutaneous defibrillators, leadless pacemakers, and wearable cardioverter defibrillators.
REVIEWS IN CARDIOVASCULAR MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Fozia Z. Ahmed, Carina Blomstrom-Lundqvist, Heather Bloom, Christopher Cooper, Christopher Ellis, Andreas Goette, Arnold J. Greenspon, Charles J. Love, Jens Brock Johansen, Francois Philippon, Khaldoun G. Tarakji, Reece Holbrook, Lou Sherfesee, Ying Xia, Swathi Seshadri, Daniel R. Lexcen, Andrew D. Krahn
Summary: The PADIT infection risk score, developed from a large dataset, identified five independent predictors of CIED infection. A validation study using U.S. healthcare claims data confirmed the predictive value of the risk score, especially when combined with prior CIED infection history, in identifying high-risk patients for targeted interventions to reduce CIED infection risk.
Review
Cardiac & Cardiovascular Systems
Giuseppe Boriani, Haran Burri, Emma Svennberg, Jacopo Francesco Imberti, Jose Luis Merino, Christophe Leclercq
Summary: Remote monitoring is recommended as a standard care for the follow-up of CIEDs, as it can detect issues and changes in cardio-respiratory functions. However, the heterogeneity in reimbursement policies across Europe is a significant barrier to widespread implementation.
Article
Oncology
Mario Levis, Alessandro Andreis, Serena Badellino, Carlo Budano, Donatella Caivano, Marzia Cerrato, Erika Orlandi, Arianna Bissolino, Gloria Angelico, Chiara Cavallin, Francesca R. Giglioli, Gaetano M. De Ferrari, Umberto Ricardi
Summary: The study evaluated the effects of thoracic SABR on CIEDs in 34 patients, demonstrating that SABR is safe for CIEDs when the dose is kept under 2 Gy and the beam energy is equal to or less than 10 MV.
RADIOTHERAPY AND ONCOLOGY
(2021)
Article
Medicine, General & Internal
Simone Gulletta, Giulio Falasconi, Lorenzo Cianfanelli, Alice Centola, Gabriele Paglino, Manuela Cireddu, Andrea Radinovic, Giuseppe D'Angelo, Alessandra Marzi, Simone Sala, Nicolai Fierro, Caterina Bisceglia, Giovanni Peretto, Nadia Di Muzio, Paolo Della Bella, Pasquale Vergara, Italo Dell'Oca
Summary: This study reports the ten-year real-world experience of a tertiary multidisciplinary teaching hospital in managing patients with cardiac implantable electronic devices (CIEDs) undergoing radiotherapy (RT). The results show infrequent changes in device parameters and occurrence of arrhythmias, with no clinically significant adverse events.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Fahd Nadeem, Arismendy Nunez Garcia, Cao Thach Tran, Michael Wu
Summary: The study found that Apple's iPhone 12 Pro Max MagSafe technology can cause clinically significant magnet interference on cardiac implantable electronic devices (CIED), potentially inhibiting lifesaving therapy.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2021)
Article
Anesthesiology
H. Thomas, C. Plummer, I. J. Wright, P. Foley, A. J. Turley
Summary: This document provides practical guidance for the management of patients with cardiac implantable electronic devices during surgical intervention, aiming to minimize the risk of electromagnetic interference. It includes detailed instructions for pre-operative assessment and measures to ensure safe care for these patients.
Article
Cardiac & Cardiovascular Systems
Henrike A. K. Hillmann, Claudius Hansen, Oliver Przibille, David Duncker
Summary: This study aims to analyze the patient perspectives on the remote monitoring of cardiac devices in Germany. The survey found that most patients felt well informed and remote monitoring helped them cope with their disease. Some patients experienced technical problems with remote monitoring, and younger patients are more interested in using smartphones for data transfer.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Cristina Navarro-Valverde, Javier Ramos-Maqueda, M. Jose Romero-Reyes, Irene Esteve-Ruiz, Dolores Garcia-Medina, Ricardo Pavon-Jimenez, Cristobal Rodriguez-Gomez, Juan Leal-Del-Ojo, Aurelio Cayuela, Francisco J. Molano-Casimiro
Summary: This study evaluated the safety and efficacy of MRI in patients with cardiac implantable electronic devices. The results showed that MRI performed under a specific protocol is safe in the short term, without any clinical events, and can provide interpretable results in most cases.
MAGNETIC RESONANCE IMAGING
(2022)
Article
Cardiac & Cardiovascular Systems
Wolfram Grimm, Kathrin Grimm, Brandon Greene, Mariana Parahuleva
Summary: The study showed that pacing-dependency in patients with CIEDs is significantly associated with factors such as second or third-degree AV block, atrial fibrillation at implant, low LVEF, elevated BNP, chronic kidney disease, and follow-up duration after implantation exceeding 5 years. Other clinical variables like age, gender, diabetes mellitus, underlying heart disease, prior cardiac surgery, and medication during follow-up did not predict pacing-dependency.
CARDIOLOGY JOURNAL
(2021)
Article
Cardiac & Cardiovascular Systems
Haran Burri, Christoph Starck, Angelo Auricchio, Mauro Biffi, Mafalda Burri, Andre D'Avila, Jean-Claude Deharo, Michael Glikson, Carsten Israel, Chu-Pak Lau, Christophe Leclercq, Charles J. Love, Jens Cosedis Nielsen, Kevin Vernooy, Nikolaos Dagres, Serge Boveda, Christian Butter, Eloi Marijon, Frieder Braunschweig, Georges H. Mairesse, Marye Gleva, Pascal Defaye, Francesco Zanon, Nestor Lopez-Cabanillas, Jose M. Guerra, Vassilios P. Vassilikos, Mario Martins Oliveira
Summary: With the increasing number of device implantations worldwide, the need to train physicians in the implantation of pacemakers and implantable cardioverter-defibrillators is growing. Despite international recommendations for device indications and programming, there is currently no consensus on implantation techniques. This document, based on a systematic literature review and consensus from an international task force, aims to establish standards for device implantation to address this gap.
Review
Cardiac & Cardiovascular Systems
Johanna B. Tonko, Christopher A. Rinaldi
Summary: Implantable cardioverter-defibrillators (ICDs) have revolutionized the treatment of cardiac diseases. However, there is a need for alternative ICD configurations due to expanding patient groups and increasing complications associated with traditional devices.
Article
Multidisciplinary Sciences
Seungbong Han, Gyung-Min Park, Yong-Giun Kim, Ki Won Hwang, Chang Hee Kwon, Jae-Hyung Roh, Sangwoo Park, Ki-Bum Won, Soe Hee Ann, Shin-Jae Kim, Sang-Gon Lee
Summary: This study compared the characteristics and mortality of new implantation of cardiac implantable electronic device (CIED) between tertiary and non-tertiary hospitals in Korea. The findings showed that there was no significant difference in mortality between the two types of hospitals for patients undergoing first and new implantation of CIED.
SCIENTIFIC REPORTS
(2021)
Article
Cardiac & Cardiovascular Systems
Thomas F. Deering, John N. Catanzaro, David A. Woodard
Summary: This study found that the use of antibiotics, especially gentamicin, in biologic envelope hydration solution may reduce infection risk in CIED procedures. Additionally, utilizing antibacterial envelopes without adjunct IV ABX may not be sufficient to reduce infection rates.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Medicine, General & Internal
Meor Azraai, Daisuke Miura, Yuan-Hong Lin, Thalys Sampaio Rodrigues, Voltaire Nadurata
Summary: This study investigated the incidence and predictors of cardiac implantable electronic device (CIED) malfunction with radiotherapy (RT). The study found that photon beam energy ≥10 MV, anatomical location of RT above the diaphragm, and having a CIED from the ICD group were predictors of CIED malfunction.
JOURNAL OF CLINICAL MEDICINE
(2022)