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Nomenclature, Definitions, and Metrics of Cardiovascular Implantable Electronic Device Lead Management

Bruce L Wilkoff1

  • 1Robert and Suzanne Tomsich Department of Cardiovascular Medicine, Cardiac Pacing and Tachyarrhythmia Devices, Sydell and Arnold Miller Family Heart and Vascular Institute, Cleveland Clinic, 9500 Euclid Avenue, Desk J2-2, Cleveland, OH 44022, USA.

Cardiac Electrophysiology Clinics
|November 7, 2018
PubMed

Insights

Standardized nomenclature and metrics for cardiac procedures are established, enabling transparent outcome reporting. Participation in registries is crucial for informed clinical decisions and patient care.

Area of Science:

  • Cardiology
  • Medical Quality Improvement

Background:

  • Establishing a foundation for quality in cardiac procedures requires standardized nomenclature, definitions, and metrics for success, failure, and complications.
  • An international consensus, ratified by major cardiovascular and related societies, now provides this foundation.

Purpose of the Study:

  • To highlight the importance of standardized reporting for outcomes in cardiac procedures.
  • To emphasize the role of these standards in facilitating clinical decision-making with patients and families.

Main Methods:

  • Development of international consensus on nomenclature, definitions, and metrics.
  • Ratification by continental heart rhythm societies and overlapping cardiovascular, surgical, anesthesiology, and infectious disease societies.

Main Results:

  • A firm foundation for reporting outcomes and making clinical decisions is now established.
  • Reporting of outcomes using these metrics and definitions is mandated for transparency.

Conclusions:

  • Participation in center-specific or multicenter registries is the optimal approach to achieve transparent outcome reporting.
  • Standardized metrics promote informed clinical decisions and enhance patient care quality.

Keywords:
ComplicationsDefinitionsImplantable defibrillatorOutcomesPacemakerTransvenous lead extraction

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