Implantable Cardiac Electronic Devices in the Elderly Population

Lim, Wei Yao; Prabhu, Sandeep; Schilling, Richard J.

doi:10.15420/aer.2019.3.4

Cited by 22 publications

(19 citation statements)

References 33 publications

(41 reference statements)

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“…On the other hand, patients' co-morbidities play a significant role in cardiac device implantation. For instance, patients with moderate to severe renal impairment and a history of life-threatening ventricular arrhythmias did not show benefits from ICD implantation [ 14 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

The Quality of Life in Patients With Implantable Cardiac Devices: A Single-Center Cross-Sectional Study

Alansari

Mohammed

Aljohani

et al. 2021

Cureus

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BackgroundCardiovascular diseases (CVDs) and their complications are one of the most common causes of death worldwide. Implantable cardiac assistive devices (CADs) play a significant role in preventing dreadful outcomes, and the complication rate of these implanting procedures is minimal. These cardiac devices require some adaptation and could affect the patients' quality of life psychosocially and financially. This study is aimed to identify the impact of implantable cardiac assistive devices on patients' quality of life in the National Guard Hospital, Jeddah, Saudi Arabia. MethodsThis is an observational cross-sectional questionnaire-based study. It was conducted on patients who underwent cardiac assistive device implantation in National Guard Hospital. The patients were interviewed face-to-face and were requested to fill the Implanted Device Adjustment Scale (IDAS). Descriptive statistics were carried out. Chi-square test for independence was conducted to examine the associations between qualitative variables with the level of significance was taken as p-value <0.05. ResultsThere was a statistically significant association between IDAS score and gender (p=0.03), monthly income (p=0.009), and type of cardiac implantation device (p=0.041). Females with an implantable cardiac defibrillator (ICD) and individuals with low socioeconomic status reported alongside divorced participants have higher IDAS scores, which correlates to worse adjustment. However, most of our patients scored 21-50 in IDAS score, which indicates a mild psychosocial effect after the cardiac assistive device implantation. ConclusionThis study confirmed that most individuals adjust positively to implanted devices. It showed a significant association of gender, type of device, monthly income, and duration. Attention must be drawn to females and divorced patients in regards to psychological and emotional support.

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Section: Discussionmentioning

confidence: 99%

The Quality of Life in Patients With Implantable Cardiac Devices: A Single-Center Cross-Sectional Study

Alansari

Mohammed

Aljohani

et al. 2021

Cureus

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“…Chest pain during the procedure: A moderate sedation is given during CIED implantation because patients undergoing such procedures are usually elderly and have multiple comorbid conditions. 7 This limits the use of proper analgesia and sedation to limit the adverse effects of sedatives and anaesthetics and imparts an important role of local anaesthesia for pain control. If local anaesthesia is not given adequately, patients might experience pain during different steps of device implantation.…”

Section: Evaluation Of Chest Pain After Cied Implantationmentioning

confidence: 99%

“…Most of the physicians at our institute use a sub clavicular approach for subclavian vein access but one of our study has shown the supra-clavicular approach to be noninferior and time-efficient in temporary transvenous pacing. 9 Hence, we prefer a supraclavicular approach in CIED surgeries as well.…”

Section: Evaluation Of Chest Pain After Cied Implantationmentioning

confidence: 99%

Cardiac implantable electronic device related chest pain: A focused review

Malik

Khan

2021

JSTMU

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“…1 The prevalence of CIED patients is likely to rise considerably with the aging population. [1][2][3] Because CIED patients have underlying structural heart disease, they often require complex downstream clinical decisions, thereby warranting noninvasive imaging. As a versatile modality, cardiovascular magnetic resonance (CMR) is wellsuited for a comprehensive assessment including cardiac function, structure, perfusion, hemodynamics, and viability.…”

Section: Introductionmentioning

confidence: 99%

“…Over 3 million patients in the United States are implanted with a cardiac‐implanted electronic device (CIED) such as implantable cardioverter‐defibrillators (ICDs), pacemaker, or cardiac resynchronization therapy (CRT) for increasing their lifespan and/or quality of life 1 . The prevalence of CIED patients is likely to rise considerably with the aging population 1‐3 . Because CIED patients have underlying structural heart disease, they often require complex downstream clinical decisions, thereby warranting noninvasive imaging.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of image quality of wideband single‐shot late gadolinium‐enhancement MRI in patients with a cardiac implantable electronic device

Schwartz

Pathrose

Serhal

et al. 2020

Cardiovasc electrophysiol

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Introduction: While wideband segmented, breath-hold late gadolinium-enhancement (LGE) cardiovascular magnetic resonance (CMR) has been shown to suppress image artifacts associated with cardiac-implanted electronic devices (CIEDs), it may produce image artifacts in patients with arrhythmia and/or dyspnea. Single-shot LGE is capable of suppressing said artifacts. We sought to compare the performance of wideband single-shot free-breathing LGE against the standard and wideband-segmented LGEs in CIED patients. Methods and Results:We retrospectively identified all 54 consecutive patients (mean age: 61 ± 15 years; 31% females) with CIED who had undergone CMR with standard segmented, wideband segmented, and/or wideband single-shot LGE sequences as part of quality assurance for determining best clinical practice at 1.5 T.Two raters independently graded the conspicuity of myocardial scar or normal myocardium and the presence of device artifact level on a 5-point Likert scale (1: worst; 3: acceptable; 5: best). Summed visual score (SVS) was calculated as the sum of conspicuity and artifact scores (SVS ≥ 6 defined as diagnostically interpretable). Median conspicuity and artifact scores were significantly better for wideband single-shot LGE (F = 24.2, p < .001) and wideband-segmented LGE (F = 20.6, p < .001) compared to standard-segmented LGE. Among evaluated myocardial segments, 72% were deemed diagnostically interpretable-defined as SVS ≥ 6-for standard-segmented LGE, 89% were deemed diagnostically interpretable for wideband-segmented LGE, and 94% segments were deemed diagnostically interpretable for wideband single-shot LGE.Conclusions: Wideband single-shot LGE and wideband-segmented LGE produced similarly improved image quality compared to standard LGE.

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Implantable Cardiac Electronic Devices in the Elderly Population

Cited by 22 publications

References 33 publications

The Quality of Life in Patients With Implantable Cardiac Devices: A Single-Center Cross-Sectional Study

The Quality of Life in Patients With Implantable Cardiac Devices: A Single-Center Cross-Sectional Study

Cardiac implantable electronic device related chest pain: A focused review

Evaluation of image quality of wideband single‐shot late gadolinium‐enhancement MRI in patients with a cardiac implantable electronic device

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