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Related Concept Videos

Decreased pulse rate01:14

Decreased pulse rate

522
Bradycardia is a medical condition in which the heart rate is slower than normal. It occurs when the heart's natural pacemaker, the sinus node, generates slower electrical impulses than the standard rhythm. In adults, bradycardia is diagnosed when the pulse rate falls below 60 beats per minute, indicating a deviation from the normal heart rate range.
There are specific risk factors that can elevate the likelihood of developing bradycardia. Advanced age is a significant factor, with...
522
Pulse rhythm01:30

Pulse rhythm

740
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...
740
Special considerations while measuring pulse01:13

Special considerations while measuring pulse

551
Assessing a patient's pulse is a fundamental skill in healthcare, but certain situations require special attention:
551
Assessment of apical pulse01:17

Assessment of apical pulse

787
Assessing the Apical Pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
787
Disturbances in Heart Rhythm01:28

Disturbances in Heart Rhythm

772
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
772

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Progressive reduction in complications of cryoballoon pulmonary vein isolation for atrial fibrillation.

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Machine learning prediction of outcome following pulsed-field atrial fibrillation ablation: patient selection and risk factors.

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Related Experiment Video

Updated: May 20, 2025

Translational Rabbit Model of Chronic Cardiac Pacing
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Leadless pacing in young patients.

Paul Richard Roberts1, Saverio Iacopino2

  • 1Faculty of Medicine, University of Southampton, University Road, Southampton SO17 1BJ, UK.

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

Leadless pacing offers a safe and effective alternative, especially for younger patients (<40 years) and those with complex conditions like congenital heart disease. Further research in this demographic is warranted.

Keywords:
Adult congenital heart diseaseComplicationsLeadless pacemakerPaediatricsVasovagal syncopeYoung adult

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Area of Science:

  • Cardiology
  • Medical Devices
  • Electrophysiology

Background:

  • Leadless pacing is a proven therapy, but data primarily focuses on older populations.
  • Transvenous pacing in younger patients (<40 years) carries risks like prolonged lead presence and increased generator replacements.
  • Leadless pacing may mitigate these risks in younger individuals.

Purpose of the Study:

  • To evaluate the safety and efficacy of leadless pacing in younger populations (<40 years).
  • To explore its suitability for specific patient groups, including those with adult congenital heart disease and neuromuscular disorders.
  • To assess its potential in the pediatric population.

Main Methods:

  • Review of existing evidence on leadless pacing in populations under 40.
  • Analysis of specific patient subgroups including congenital heart disease, neuromuscular disorders, and pediatric patients.
  • Consideration of pacing approaches, such as superior jugular vs. femoral.

Main Results:

  • Emerging evidence suggests leadless pacing is safe and effective in younger populations.
  • It shows promise for patients with infrequent pacing needs (e.g., cardioinhibitory vasovagal syncope).
  • Leadless pacing may overcome challenges in patients with adult congenital heart disease and neuromuscular disorders.

Conclusions:

  • Leadless pacing is a viable option for younger patients (<40 years), offering advantages over traditional transvenous systems.
  • Its application in specialized pediatric cases, potentially via a superior jugular approach, warrants further investigation.
  • Prospective randomized controlled trials in the under-40 population are needed to strengthen the evidence base.