Predictors of patient satisfaction after cardiac pacemaker implantation or ICD implantation

2019 ◽  
Vol 35 (1) ◽  
pp. 140-145
Author(s):  
Katharina Bergmann ◽  
Joachim Kugler ◽  
Joerg Klewer ◽  
Tonio Schoenfelder
Keyword(s):  
Patient Satisfaction ◽  
Pacemaker Implantation ◽  
Cardiac Pacemaker ◽  
Icd Implantation

Is alcohol septal ablation in women performed too late?

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
A Batzner ◽  
D Aicha ◽  
H Seggewiss
Keyword(s):  
Hospital Stay ◽  
Pacemaker Implantation ◽  
Posterior Wall ◽  
Hypertrophic Obstructive Cardiomyopathy ◽  
Left Ventricular ◽  
Icd Implantation ◽  
Alcohol Septal Ablation ◽  
Significant Difference ◽  
Surgical Myectomy

Abstract Introduction Alcohol septal ablation (PTSMA) was introduced as interventional alternative to surgical myectomy for symptomatic patients with hypertrophic obstructive cardiomyopathy (HOCM) 25 years ago. As gender differences in diagnosis and treatment of HOCM are still unclear we analyzed baseline characteristics and results of PTSMA in a large single center cohort with respect to gender. Methods and results Between 05/2000 and 06/2017 first PTSMA in our center was performed in 952 patients with symptomatic HOCM. We treated less 388 (40.8%) women and 564 (59.2%) men. All patients underwent clinical follow-up. At the time of the intervention women were older (61.2±14.9 vs. 51.9±13.7 years; p<0.0001) and suffered more often from NYHA grade III/IV dyspnea (80.9% vs. 68.1%; p<0.0001), whereas angina pectoris was comparable in women (62.4%) and men (59.9%). Echocardiographic baseline gradients were comparable in women (rest 65.0±38.1 mmHg and Valsalva 106.2±45.7 mmHg) and men (rest 63.1±38.3 mmHg and Valsalva 103.6±42.8 mmHg). But, women had smaller diameters of the left atrium (44.3±6.9 vs. 47.2±6.5 mm; p<0001), maximal septum thickness (20.4±3.9 vs. 21.4±4.5 mm; p<0.01), and maximal thickness of the left ventricular posterior wall (12.7±2.8 vs. 13.5±2.9 mm; p<0.0001). In women, more septal branches (1.3±0.6 vs. 1.2±0.5; p<0.05) had to be tested to identify the target septal branch. The amount of injected alcohol was comparable (2.0±0, 4 in women vs. 2.1±0.4 ml in men). The maximum CK increase was lower in women (826.0±489.6 vs. 903.4±543.0 U / l; p<0.05). During hospital stay one woman and one man died, each (n.s.). The frequency of total AV blocks in the cathlab showed no significant difference between women (41.5%) and men (38.3%). Furthermore, the rate of permanent pacemaker implantation during hospital stay did not differ (12.1% in women vs. 9.4% in men). Follow-up periods of all patients showed no significant difference between women (5.7±4.9 years) and men (6.2±5.0 years). Overall, 37 (9.5%) women died during this period compared to only 33 (5.9%) men (p<0.05). But, cardiovascular causes of death were not significantly different between women (2.8%) and men (1.6%). Furthermore, the rates of surgical myectomy after failed PTSMA (1.3% in women vs. 2.3% in men), ICD implantation for primary prevention of sudden cardiac death according to current guidelines (4.1% in women vs. 5.9% in men) or pacemaker implantation (3.6% in women vs. 2.0% in men) showed no significant differences. Summary PTSMA in women with HOCM was performed at more advanced age with more pronounced symptoms compared to men. While there were no differences in acute outcomes, overall long-term mortality was higher in women without differences in cardiovascular mortality. Therefore, women may require more intensive diagnostic approaches in order not to miss the correct time for gradient reduction treatment. Funding Acknowledgement Type of funding source: None

Hazards of Cardiac Pacemaker Implantation

JAMA ◽  
1966 ◽  
Vol 196 (12) ◽  
pp. 1094
Author(s):  
Seymour Furman
Keyword(s):  
Pacemaker Implantation ◽  
Cardiac Pacemaker

scholarly journals Bradycardia-dependent rise in the atrial capture threshold early after cardiac pacemaker implantation in patients with sick sinus syndrome

2016 ◽  
Vol 2 (1) ◽  
pp. 27-31 ◽  
Author(s):  
Akira Kimata ◽  
Kentaro Yoshida ◽  
Noriyuki Takeyasu ◽  
Rieko Nakagami ◽  
Jun Osada ◽  
...  
Keyword(s):  
Sick Sinus Syndrome ◽  
Pacemaker Implantation ◽  
Cardiac Pacemaker ◽  
Atrial Capture

The Influence of Cardiac Staffing Resources on Permanent Cardiac Pacemaker Implantation Rates

1988 ◽  
Vol 33 (3) ◽  
pp. 261-263
Author(s):  
M. R. Jacyna ◽  
G. Main ◽  
J. Hanslip ◽  
T. H. Pringle ◽  
G. P. McNeill
Keyword(s):  
Retrospective Analysis ◽  
Waiting Time ◽  
Pacemaker Implantation ◽  
Cardiac Pacemaker ◽  
Ecg Monitoring ◽  
Ambulatory Ecg ◽  
Ambulatory Ecg Monitoring ◽  
Clinical Indications ◽  
Implantation Rates ◽  
Permanent Cardiac Pacemaker

In Tayside region, from 1976 to 1986, the number of permanent pacemakers implanted per year more than doubled, with the increase particularly marked over the latter five years. In order to determine the factor(s) which had caused this increase in implantation rates, a retrospective analysis of patients undergoing pacemaker implantation during the period 1981–1986 was undertaken. No change in the number of elderly in the population, age of patients, mode of referral, waiting time before insertion or clinical indications for pacing was observed to account for this change. The advent of ambulatory ECG monitoring may have contributed to this increase, but the appointment of an extra cardiologist in Tayside in 1982 was believed to have been more important. These results suggest that the number of pacemakers implanted in a region is highly dependent on the number of cardiological staff in that region available for their insertion.

scholarly journals Upper extremity deep venous thrombosis and stenosis after implantation of pacemakers and defibrillators; A prospective study

2017 ◽  
Vol 55 (3) ◽  
pp. 139-144 ◽  
Author(s):  
Morteza Safi ◽  
Mohammad Ali Akbarzadeh ◽  
Azadeh Azinfar ◽  
Mohammad Hasan Namazi ◽  
Isa Khaheshi
Keyword(s):  
Cardiac Resynchronization Therapy ◽  
Cardiac Pacemaker ◽  
Cardiac Resynchronization ◽  
Resynchronization Therapy ◽  
Venous Obstruction ◽  
Icd Implantation ◽  
Total Occlusion ◽  
Icd Leads ◽  
Increased Risk ◽  
Cardiac Resynchronization Therapy Device

Abstract Background. Obstruction of the access vein following cardiac pacemaker and defibrillator implantation is a common complication. However, the exact incidence and contributing risk factors are unknown. The aim of this study is to determine the incidence and analyze the contribution of each risk factor. Methods. 57 consecutive patients candidate for their first transvenous pacemaker, implantable cardioverter-defibrillator (ICD), or cardiac resynchronization therapy device implantation were enrolled. After implantation, venography of the ipsilateral peripheral arm was performed. Patients underwent their second venography after the follow-up period of 3 to 6 months. Results. 42 patients (13 females, mean age 59.71 ± 12.33) completed the study. The followup venography showed significant venous obstruction (more than 50%) in 9 (21%) patients, but in none of the individuals, venography revealed total occlusion of the veins. Patients with obstruction had more leads in their veins (2.56 ± 0.53 vs 1.58 ± 0.71, P = 0.001). Venous obstruction was significantly more prevalent in patients with implanted cardiac resynchronization therapy device compared with an ICD or pacemaker (p = 0. 01). Age, gender, diabetes mellitus, hypertension, ischemic heart disease and antiplatelet consumption did not reveal any other contribution to the risk of thrombosis. In multivariate analysis, total lead number was a positive predictor for venous occlusion (P = 0.015, OR:19.2, and CI: 1.7-207.1). Conclusion. Venous obstruction is relatively frequent after pacemaker or ICD implantation. This study also shows that pacemaker and ICD leads have a similar risk for lead-related venous obstruction. However, patients with multiple leads are associated with an increased risk.

Sign in / Sign up

Export Citation Format

Share Document