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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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Leadless pacing in peri-procedural settings.

Mikhael F El-Chami1, Ryan Cunnane2

  • 1Division of Cardiology, Section of Electrophysiology, Emory University School of Medicine, 550 Peachtree Street, NE Atlanta, GA 30308, USA.

European Heart Journal Supplements : Journal of the European Society of Cardiology
|March 26, 2025
PubMed
Summary
This summary is machine-generated.

Leadless pacemakers (LPs) offer a safer alternative to traditional pacemakers by eliminating leads and pockets, reducing infection and complication risks. This review focuses on their benefits, particularly after valve replacement surgery.

Keywords:
Leadless pacemakerTAVRTTVR

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Area of Science:

  • Cardiology
  • Medical Devices
  • Cardiac Surgery

Background:

  • Traditional transvenous permanent pacemakers (TV-PPMs) are associated with lead and pocket complications.
  • Lead-related issues like dislodgement and pocket infections are significant concerns in pacemaker therapy.

Purpose of the Study:

  • To review the role and advantages of leadless pacemakers (LPs) in patients undergoing valve replacement procedures.
  • To highlight how LPs mitigate risks compared to TV-PPMs in specific clinical scenarios.

Main Methods:

  • Review of observational studies and clinical data on leadless pacemakers.
  • Comparative analysis of complication rates between LPs and TV-PPMs.

Main Results:

  • Leadless pacemakers significantly reduce long-term complications, primarily by minimizing re-interventions.
  • LPs demonstrate a lower incidence of infection and lead-related complications compared to TV-PPMs.
  • These benefits are particularly pronounced in patients post-transcutaneous or surgical valve replacement.

Conclusions:

  • Leadless pacemakers offer a superior safety profile by eliminating leads and subcutaneous pockets.
  • The reduced risk of infection and lead complications makes LPs ideal for patients requiring valve surgery.
  • LPs represent a significant advancement in cardiac pacing, especially for high-risk patient populations.