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Articles linked to this work by shared authors, journal, and citation graph.

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Surgical management of chest injuries in patients with multiple and/or severe trauma- a systematic review and clinical practice guideline update.

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[Treatment regimen for deep sternal wound infections after cardiac surgical interventions in an interdisciplinary approach].

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[Annual report 2019 of the German pacemaker and defibrillator registry-part 1: cardiac pacemakers : Working group on cardiac pacemakers and cardioverter-defibrillators at IQTIG-Institute for Quality Assurance and Transparency in Healthcare].

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[Annual report 2019 of the German pacemaker and defibrillator registry-part 2: implantable cardioverter-defibrillators (ICD) : Working group on cardiac pacemakers and cardioverter-defibrillators at IQTIG-Institute for Quality Assurance and Transparency in Healthcare].

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[Annual report 2018 of the German pacemaker and defibrillator registry-part 2: implantable cardioverter-defibrillators : Working group on cardiac pacemakers and cardioverter-defibrillators at IQTIG-Institute for Quality Assurance and Transparency in Healthcare].

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[Surgical experience with conventional pacemaker leads].

A Markewitz1

  • 1OFA Abt. XVII - Herz- und Gefäßchirurgie Bundeswehrzentralkrankenhaus Rübenacher Str. 170 56072 Koblenz, Germany Tel.: +49-261/281-3701 Fax: +49-261/281-3702 E-Mail: AndreasMarkewitz@bwb.org, Germany.

Herzschrittmachertherapie & Elektrophysiologie
|July 20, 2016
PubMed
Summary
This summary is machine-generated.

Conventional pacemaker leads demonstrate good clinical outcomes in most patients. However, modern leads may offer advantages for younger patients and those needing reoperation due to pacing issues.

Keywords:
Key words Conventional pacemaker leadspacemaker implantationquality standards

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Area of Science:

  • Cardiology
  • Biomedical Engineering

Context:

  • Pacemaker lead selection lacks clear guidelines.
  • Conventional leads were compared to modern steroid-eluting/high impedance leads.
  • Study reviewed data from 231 patients implanted between 1996-2000.

Purpose:

  • To evaluate the clinical performance of conventional pacemaker leads.
  • To compare conventional leads with newer, advanced lead technologies.
  • To inform pacemaker lead selection criteria.

Summary:

  • Intraoperative pacing thresholds: Atrial 0.87±0.35 V, Ventricular 0.31±0.13 V.
  • Postoperative chronic pacing thresholds: 79% atrial, 85% ventricular leads met criteria.
  • Low reoperation rate (1%) for lead-related complications (diaphragmatic stimulation, loss of capture).

Impact:

  • Conventional leads provide acceptable results for most patients.
  • Modern leads may offer lower pacing thresholds and reduced current drain.
  • Consideration of advanced leads for specific patient groups (young, reoperation) is warranted.
  • Development of pacemaker implantation standards is recommended.