Cardiac implantable electronic device related chest pain: A focused review

Abstract

More than 600,000 patients undergo cardiac implantable electronic device (CIED) implantation in a year, which comprise of pacemakers, implantable cardioverter defibrillators, and cardiac resynchronization therapy devices (CRT). The most common symptom experienced after a CIED implantation is chest pain. In this review, we describe CIED implantation and associated complications causing chest pain.

Characterizing Pain Leading to Emergency Medical Services Activation in Heart Failure

“…Binomial logistic regression was used to evaluate variables associated with presenting with a primary complaint of pain. Variables included in the logistic regression analyses were age, self-reported gender (woman, man); self-reported race (White, Black, Other); shortness of breath; number of comorbid conditions; number of medications; history of coronary artery disease, atrial fibrillation, coronary artery bypass graft, or myocardial infarction; and presence of a pacemaker or implantable cardioverter-defibrillator 7,11,13,20,22–28,33–35 . Ethnicity and history of sudden cardiac arrest were excluded from the regression analysis because of small sample sizes (n < 50 per group).…”

“…Variables included in the logistic regression analyses were age, self-reported gender (woman, man); self-reported race (White, Black, Other); shortness of breath; number of comorbid conditions; number of medications; history of coronary artery disease, atrial fibrillation, coronary artery bypass graft, or myocardial infarction; and presence of a pacemaker or implantable cardioverter-defibrillator. 7,11,13,20,[22][23][24][25][26][27][28][33][34][35] Ethnicity and history of sudden cardiac arrest were excluded from the regression analysis because of small sample sizes (n < 50 per group). Because of small sample sizes, Pacific Islander, Native American, and Asian races were collapsed into 1 category (Other).…”

“…These comorbid conditions produce considerable symptom burden and often have complex and prolonged treatment trajectories 7 . Patients with HF undergo a substantial number of cardiac procedures and may be recipients of cardiac devices such as pacemakers or implantable cardioverter-defibrillators, which can contribute to chronic chest pain through inappropriate discharges and nerve stimulation 1,25–27 …”

“…7 Patients with HF undergo a substantial number of cardiac procedures and may be recipients of cardiac devices such as pacemakers or implantable cardioverter-defibrillators, which can contribute to chronic chest pain through inappropriate discharges and nerve stimulation. 1,[25][26][27] Patients with HF are frequently transported by EMS, often with significant pain as the primary complaint. 28 Although pain has been studied within general populations with HF, the characteristics of pain among patients with HF transported by EMS remain unknown.…”