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Complications related to pacemakers and other cardiac implantable electronic devices: essentials for internists and

Liane A Arcinas1, Robert S Sheldon2

  • 1Section of Cardiology, Department of Cardiac Sciences, Libin Cardiovascular Institute, University of Calgary, 3280 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada. liane.arcinas@albertahealthservices.ca.

Internal and Emergency Medicine
|March 9, 2023
PubMed

Insights

Patients with cardiac implantable electronic devices (CIEDs) like pacemakers are common in hospitals. This review helps doctors manage CIEDs and their complications effectively.

Area of Science:

  • Cardiology
  • Medical Devices

Background:

  • Increasing prevalence of cardiac implantable electronic devices (CIEDs) due to aging populations and technological advancements.
  • Growing number of patients with CIEDs presenting to emergency departments and hospital wards.
  • Necessity for healthcare professionals to understand CIEDs and their potential complications.

Purpose of the Study:

  • To provide a framework for approaching patients with CIEDs.
  • To aid physicians in recognizing and managing CIED-related clinical scenarios and complications.

Main Methods:

  • Literature review on CIEDs, their indications, and complications.
  • Synthesis of current guidelines and clinical best practices for CIED management.
  • Case-based scenarios illustrating common and critical CIED issues.

Main Results:

  • CIEDs include pacemakers and implantable cardioverter defibrillators for arrhythmias and heart failure.
  • Common complications include lead malfunction, infection, and device-related issues.
  • Effective management requires a systematic approach to device interrogation and patient assessment.

Conclusions:

  • Emergency physicians and internists must possess a strong foundation in CIED management.
  • A structured approach facilitates the recognition and treatment of CIED complications.
  • This review equips clinicians with the knowledge to manage CIED patients effectively.

Keywords:
Pacemakerscardiac implantable electronic devicesemergency departmentpacemaker complications

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