Leadless Pacemakers: The "Leading Edge" of Quality of Life in Cardic Electrophysiology.

IF 3.1 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Current Cardiology Reports Pub Date : 2025-03-31 DOI:10.1007/s11886-025-02228-5

Samuel F Sears, Elizabeth W Jordan, Zeba Hashmath, Maeve M Sargeant, John Catanzaro, Rajasekhar Nekkanti, Ghanshyam Shantha

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引用次数: 0

Abstract

Purpose of the review: Permanent pacemakers (PPMs) are common cardiac implantable devices indicated for patients with bradycardia or tachycardia. Currently, PPMs include both transvenous pacemakers (TV-PM) and leadless pacemakers (L-PM). This paper reviews the existing data on L-PM technology including: a) medical aspects and indications, b) patient experience and quality of life (QOL) outcome studies, and c) recommendations for optimizing patient QOL through enhanced knowledge and shared decision-making.

Recent findings: This review includes the seven papers that report on patient-reported outcomes (PRO) in leadless pacemakers and indicate that QOL is as good, if not better, than TV-PM. Existing evidence from descriptive statistics suggests that patients with L-PM report high levels of patient acceptance and satisfaction with esthetic appearance (96%), recovery (91%), and level of physical activity (74%). Leadless pacemakers provide an attractive alternative for the indicated potential patient. The evidence demonstrates the benefits of L-PM such as a minimal implant and lack of leads. Recommendations for future research indicate that electrophysiology-specific metrics are essential and control for the common co-morbidities in the PM population are needed.

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无铅起搏器：心脏电生理学生活质量的“前沿”。

综述目的：永久性起搏器（PPMs）是一种常见的心脏植入式装置，适用于心动过缓或心动过速患者。目前，PPMs包括经静脉起搏器（TV-PM）和无导线起搏器（L-PM）。本文综述了L-PM技术的现有数据，包括：a)医学方面和适应症，b)患者体验和生活质量（QOL）结局研究，以及c)通过增强知识和共享决策来优化患者生活质量的建议。最近的发现：本综述包括了七篇关于无导线起搏器患者报告结果（PRO）的论文，并表明生活质量与TV-PM一样好，如果不是更好的话。来自描述性统计的现有证据表明，L-PM患者对美观（96%）、恢复（91%）和身体活动水平（74%）的接受度和满意度较高。无铅起搏器为潜在患者提供了一个有吸引力的选择。证据表明，L-PM的好处，如最小的种植和缺乏铅。对未来研究的建议表明，电生理特异性指标是必不可少的，需要对PM人群中常见的合并症进行控制。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Cardiology Reports CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

6.20

自引率

2.70%

发文量

209

期刊介绍： The aim of this journal is to provide timely perspectives from experts on current advances in cardiovascular medicine. We also seek to provide reviews that highlight the most important recently published papers selected from the wealth of available cardiovascular literature. We accomplish this aim by appointing key authorities in major subject areas across the discipline. Section editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.