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Related Experiment Videos

Cardiac pacing practices: a survey.

V Parsonnet, J C Norman

    Hospital Physician
    |January 10, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Permanent cardiac pacing in the US saw 118,000 new implants in 1981. Despite programmable devices, many were not reprogrammed, and dual-chamber pacing was projected to rise significantly.

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    Area of Science:

    • Cardiology
    • Medical Device Technology

    Background:

    • Permanent cardiac pacing is a critical intervention for heart rhythm disorders.
    • Understanding current practices is essential for optimizing patient care and device utilization.

    Purpose of the Study:

    • To profile permanent cardiac pacing practices in the United States in 1981.
    • To assess the utilization of programmable features and follow-up monitoring methods.

    Main Methods:

    • A survey of physicians implanting pacemakers was conducted.
    • Data collected on new primary implants, replacements, programmability, and patient follow-up.

    Main Results:

    • Approximately 118,000 new primary pacemaker implants were performed by 5,600 physicians.

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  • Only 17% of procedures were replacements; 90% of pacemakers were programmable, but many were not reprogrammed.
  • Trans-telephonic monitoring was used for 85% of patients, often with office visits.

    • Conclusions:

    • Cardiac pacing practices in 1981 were characterized by a high volume of primary implants and underutilization of device programmability.
    • A significant shift towards dual-chamber pacing was anticipated.
    • Follow-up care predominantly involved trans-telephonic monitoring.