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Leadless pacemakers: A review of current data and future directions.
- Source :
-
Progress in cardiovascular diseases [Prog Cardiovasc Dis] 2021 May-Jun; Vol. 66, pp. 61-69. - Publication Year :
- 2021
-
Abstract
- Leadless pacemakers (LPs) have revolutionized the field of pacing by miniaturizing pacemakers and rendering them completelty intracardiac, hence reducing complications related to pacemaker pockets and transvenous leads. However, first generation LPs appear to be associated with a higher rate of myocardial perforation as compared to transvenous pacemakers (TV-PPM). Currently, LPs are predominantly designed to pace the right ventricle with no LPs that provide atrial or biventricular pacing. In this article, we review the available data on LPs while advocating for the need for a randomized controlled trial comparing LPs to TV-PPMs. In addition, we review the future directions of leadless devices.<br /> (Copyright © 2021 Elsevier Inc. All rights reserved.)
- Subjects :
- Action Potentials
Arrhythmias, Cardiac diagnosis
Arrhythmias, Cardiac physiopathology
Cardiac Pacing, Artificial adverse effects
Diffusion of Innovation
Equipment Design
Forecasting
Heart Conduction System physiopathology
Heart Rate
Humans
Miniaturization
Risk Assessment
Risk Factors
Treatment Outcome
Ventricular Function, Right
Arrhythmias, Cardiac therapy
Cardiac Pacing, Artificial trends
Pacemaker, Artificial trends
Subjects
Details
- Language :
- English
- ISSN :
- 1873-1740
- Volume :
- 66
- Database :
- MEDLINE
- Journal :
- Progress in cardiovascular diseases
- Publication Type :
- Academic Journal
- Accession number :
- 34332661
- Full Text :
- https://doi.org/10.1016/j.pcad.2021.06.003