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Translational Rabbit Model of Chronic Cardiac Pacing
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Pacemaker reprogramming rarely needed after device replacement.

K Curila1, J Smida2, D Herman2

  • 1Cardiocenter, Third Faculty of Medicine, Charles University, Srobarova 50, 100 34, Prague, Czech Republic. karol.curila@fnkv.cz.

Herz
|September 29, 2017
PubMed
Summary
This summary is machine-generated.

Most pacemaker replacements do not require device reprogramming during follow-up visits. This finding suggests that remote monitoring could be a beneficial alternative for managing patients after pacemaker replacement.

Keywords:
Cardiac pacingFollow-upOutpatients

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Area of Science:

  • Cardiology
  • Biomedical Engineering

Background:

  • Most pacemaker follow-ups do not require device setting adjustments.
  • Reprogramming needs decrease over time post-implantation.
  • Data on reprogramming after battery-replacement pacemakers were limited.

Purpose of the Study:

  • To determine the rate of pacemaker reprogramming after replacement due to battery depletion.
  • To analyze the frequency of device setting changes during outpatient follow-ups.

Main Methods:

  • Retrospective analysis of 217 patients undergoing pacemaker replacement (2002-2005).
  • Analysis of 1,407 outpatient follow-up visits (2002-2015).
  • Categorization of visits as 'action' (programming) or 'no action' (no programming).

Main Results:

  • Only 7% of all 1,407 visits involved pacemaker reprogramming.
  • Programming occurred in 4% of scheduled visits and 25% of unscheduled visits.
  • The rate of reprogramming was similar in the first year post-replacement (6%) compared to the overall period (7%).

Conclusions:

  • The majority of outpatient visits post-pacemaker replacement do not necessitate device reprogramming.
  • Remote follow-up strategies may be suitable for patients after pacemaker replacement.
  • Current follow-up protocols could potentially be optimized.