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Related Concept Videos

Pulse rhythm01:30

Pulse rhythm

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Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
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Cardiopulmonary Resuscitation III: AED Use01:23

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Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
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Pulse Assessment Sites01:11

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Pulse assessment sites are crucial in evaluating a patient's cardiovascular health. By assessing the pulsations of arteries at specific anatomical locations, healthcare professionals can gather valuable information about blood flow, heart rate, and peripheral circulation. Understanding these pulse assessment sites is essential for conducting comprehensive cardiovascular evaluations and monitoring patients' overall health. These sites are strategically chosen due to the accessibility and...
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Assessment of apical pulse01:17

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Assessing the Apical Pulse
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Cardiac Catheterization II: Right Heart Catheterization01:21

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Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
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Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

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Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
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Related Experiment Video

Updated: Aug 6, 2025

Translational Rabbit Model of Chronic Cardiac Pacing
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Pacemaker Reuse in Portuguese Speaking Countries: A Clinical Reflection.

Neiberg de Alcantara Lima1, Eduardo Arrais Rocha2, Albertino Damasceno3

  • 1Wayne State University School of Medicine - Internal Medicine, Detroit, Michigan - EUA.

Arquivos Brasileiros De Cardiologia
|March 15, 2023
PubMed
Summary
This summary is machine-generated.

Pacemaker reuse is a safe, ethical, and effective solution to improve access to cardiac devices for patients in lower-income countries. This approach addresses the significant cost barrier, offering hope to those with treatable arrhythmias.

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Area of Science:

  • Medical Devices
  • Cardiology
  • Global Health Equity

Background:

  • Significant disparities exist in access to essential medical cardiac devices between high-income and lower-income nations.
  • High costs represent a primary obstacle to the widespread adoption and use of cardiac devices in resource-limited settings.
  • Treatable arrhythmias affect numerous patients in Portuguese-speaking African countries, highlighting an urgent need for accessible solutions.

Purpose of the Study:

  • To evaluate the safety, ethical considerations, and effectiveness of reusing pacemakers as a viable alternative to new device implantation.
  • To explore strategies for bridging the gap in access to cardiac implantable electronic devices in underserved populations.
  • To address the immediate healthcare needs of patients suffering from arrhythmias in Portuguese-speaking African nations.

Main Methods:

  • Review of recent studies and existing literature on the safety and efficacy of pacemaker reuse.
  • Analysis of cost-effectiveness and ethical frameworks surrounding the repurposing of cardiac devices.
  • Examination of international initiatives aimed at improving global access to medical technologies.

Main Results:

  • Recent evidence indicates that pacemaker reuse is safe, ethical, and effective for eligible patients.
  • Repurposed cardiac devices offer a cost-effective alternative, significantly reducing financial barriers to treatment.
  • The reuse of pacemakers presents a practical solution to improve care for patients with treatable arrhythmias in resource-limited regions.

Conclusions:

  • Pacemaker reuse is a proven strategy to enhance access to life-saving cardiac devices in lower-income countries.
  • Addressing the cost barrier through device reuse is crucial for improving patient outcomes and reducing health inequities.
  • Implementing pacemaker reuse programs can provide immediate and substantial benefits to patients in underserved communities, particularly in Portuguese-speaking African nations.