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Related Concept Videos

Pulse rhythm01:30

Pulse rhythm

768
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...
768

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Patient Preferences for Features Associated With Leadless Versus Conventional Transvenous Cardiac Pacemakers.

Shelby D Reed1,2, Jui-Chen Yang1, Matthew J Wallace1

  • 1Duke Clinical Research Institute (S.D.R., J.-C.Y., M.J.W., J.S., F.R.J., S.O., S.M.A.-K.), Duke University School of Medicine, Durham, NC.

Circulation. Cardiovascular Quality and Outcomes
|November 21, 2024
PubMed
Summary
This summary is machine-generated.

Patients show a near-equal split in preference between new leadless pacemakers and traditional transvenous pacemakers. Risk of complications and infection are key factors influencing patient choice for pacemakers.

Keywords:
logistic modelspacemaker, artificialpatient preferencepatient-centered caresurvey

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Area of Science:

  • Cardiology
  • Biomedical Engineering
  • Health Services Research

Background:

  • The first dual-chamber leadless pacemaker system offers an alternative to traditional transvenous pacemakers.
  • Understanding patient preferences for pacemaker features is crucial for adoption and shared decision-making.

Purpose of the Study:

  • To quantify patient preferences for various pacemaker features, including type, battery life, and risk profiles.
  • To compare patient choices between leadless and conventional transvenous pacemaker systems.

Main Methods:

  • A discrete-choice experiment survey was administered to 117 patients with de novo pacemaker indications.
  • Participants evaluated hypothetical pacemakers varying in type, battery life, time since approval, discomfort, and complication/infection risks.
  • Random-parameter logit models and latent-class analysis were used to analyze patient choice data.

Main Results:

  • Patients showed a preference for removable leadless pacemakers over nonremovable leadless and conventional transvenous types.
  • Latent-class analysis revealed two distinct groups: one preferring leadless (50.5%) and another preferring conventional (49.5%) pacemakers.
  • Complication and infection risks (5%-18% tolerance) were the most influential factors, followed by regulatory approval time for the conventional group.

Conclusions:

  • Patient preferences for pacemaker type are nearly evenly divided between leadless and conventional systems.
  • Risk tolerance for complications and infections significantly impacts pacemaker choice.
  • Findings support shared decision-making by informing patients about feature trade-offs.