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Related Concept Videos

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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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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Dysrhythmias VI: Management of Dysrhythmias01:25

Dysrhythmias VI: Management of Dysrhythmias

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Dysrhythmia management involves a multifaceted approach, incorporating pharmacological treatments, medical procedures, surgical interventions, lifestyle modifications, and patient education.Pharmacological ManagementAntiarrhythmic Drugs:Class I (Sodium Channel Blockers): This class includes quinidine and procainamide, which reduce the speed of impulse conduction in the heart, stabilize the cardiac membrane, and control arrhythmias. Quinidine and procainamide are Class IA agents that prolong the...
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Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

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Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
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Cardiomyopathy II: Dilated Cardiomyopathy01:30

Cardiomyopathy II: Dilated Cardiomyopathy

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Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
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Removal of tine-based leadless pacemakers - Insights from a large multicenter experience.

Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology·2026
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Sex-specific short- and long-term outcomes in patients with leadless cardiac pacemakers.

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Translational Rabbit Model of Chronic Cardiac Pacing
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[Leadless pacemakers : A "permanently" good solution?]

Clemens Steinwender1,2, Hermann Blessberger3, Karim Saleh3

  • 1Klinik für Kardiologie und Internistische Intensivmedizin, Kepler Universitätsklinikum Linz, Medizinische Fakultät, Johannes Kepler Universität Linz, Linz, Österreich. clemens.steinwender@kepleruniklinikum.at.

Herzschrittmachertherapie & Elektrophysiologie
|October 23, 2023
PubMed
Summary
This summary is machine-generated.

Leadless pacemakers are safe and effective, offering fewer long-term complications like infections and lead issues compared to traditional pacemakers. These devices represent a durable solution for suitable patients.

Keywords:
ComplicationsInfectionLong-term outcomePacemaker ImplantationRisk reduction

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Area of Science:

  • Cardiology
  • Medical Devices
  • Biomedical Engineering

Context:

  • Leadless pacemakers are an emerging alternative to conventional pacemaker systems.
  • Real-world data and approval studies confirm their efficacy and safety.
  • Comparison with traditional pacemakers highlights specific advantages.

Purpose:

  • To evaluate the long-term safety and effectiveness of leadless pacemakers.
  • To compare complication rates between leadless and conventional pacemaker systems.
  • To assess the durability and suitability of leadless pacemakers as a long-term solution.

Summary:

  • Currently available leadless pacemakers demonstrate high effectiveness and safety profiles.
  • Long-term data indicate lower complication rates, particularly lead dislocations and systemic infections, compared to conventional systems.
  • Evidence, especially for the Micra™ device, supports the sustained advantages of leadless technology.

Impact:

  • Leadless pacemakers offer a "permanently good solution" for appropriately selected patients.
  • Reduced long-term complications enhance patient outcomes and device longevity.
  • The findings support the broader adoption of leadless pacemaker technology in clinical practice.