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Implantable Cardiac Electronic Devices in the Elderly Population
Wei-Yao Lim1, Sandeep Prabhu1, Richard J Schilling1
1Department of Cardiac Electrophysiology, St Bartholomew's Hospital London, UK.
Arrhythmia & Electrophysiology Review
|May 23, 2019
Summary
Cardiac implantable electronic devices are crucial for heart rhythm management. This review focuses on their increasing use in the elderly, offering guidance on indications and implantation for this population.
Area of Science:
- Cardiology
- Geriatrics
- Biomedical Engineering
Background:
- Cardiac implantable electronic devices (CIEDs) are standard in managing heart rhythm disorders.
- The aging global population necessitates increased consideration of CIEDs in elderly patients.
Purpose of the Study:
- To review the indications for CIEDs in older adults.
- To outline important considerations for CIED implantation in the elderly.
- To provide practical advice for managing elderly patients with CIEDs.
Main Methods:
- Literature review of current guidelines and studies.
- Synthesis of evidence regarding CIED use in geriatric populations.
- Expert consensus on best practices.
Main Results:
- Established indications for CIEDs remain relevant in the elderly.
- Specific implantation considerations, such as comorbidities and frailty, are crucial.
- Age-appropriate device selection and programming are important.
Conclusions:
- CIEDs play a vital role in improving quality of life for elderly patients with heart rhythm conditions.
- A tailored approach considering the unique needs of older adults optimizes CIED therapy.
- Further research is needed to refine management strategies for this growing demographic.
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