Emergency Care of Patients with Pacemakers and Defibrillators

Allison, Michael G.; Mallemat, Haney

doi:10.1016/j.emc.2015.05.001

Cited by 6 publications

(2 citation statements)

References 46 publications

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“…The AHA guidelines [30,31] for cardio-pulmonary resuscitation do not mention the anterior-posterior paddle position but recommend lateral (biaxillary) position and posterior-apical position in addition to conventional anterior-lateral position. Although the lateral (biaxillary) position and the posterior-apical position seem to be somewhat safer for the CIED than the anteriorlateral position, these positions have not been widely applied, and the posterior-apical position is apparently not practical without the use of an adhesive pad, since interruptions in chest compressions should be minimized [35][36][37][38][39] . However, do not withhold therapy for fear of damaging the CIED.…”

Section: Discussionmentioning

confidence: 99%

External Defibrillation/Cardioversion Protocol in Patients With an Implanted Cardioverter Defibrillator or Pacemaker: Systematic Review and Meta-Analysis

2022

AJCRAR

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Introduction: The use of cardiac implantable electronic devices (CIED) is increasing, and implanted patients require more often interventional procedures such as external defibrillation (ED) and electrical cardioversion (ECV). The creation of periprocedural care algorithms for patients with CIED is complex: the different programming capabilities of currently manufactured devices, confusion regarding the differences between pacemakers (PM) and implanted cardiac defibrillator (ICD), the use of old devices in some patients and lastly the continuous evolution in CIED technology with the introduction of leadless PM and subcutaneous implanted cardioverter defibrillators (S-ICD). Procedural advisories have been developed by professional societies, but the recommendations of these societies differ regarding to ED and ECV use. Methods: We performed a systematic database search of studies published between January 2000 and October 2021 assessing ED and ECV by the selection process (PRISMA) and identiﬁed 5 prospective eligible articles. Two meta-analyses assessed the proportion of patients with complications and the proportion of patients with no clinicallly relevant parameter modifications, respectively. Results: The final population for the meta-analysis included 2077 patients. The meta-analysis showed a weighted random pooled effect size of 0.55% (95% CI = 0.04% − 1.06 %) for complications, and of 22.4% (95% CI = 2.03% – 42.7%) for no clinically relevant modification parameters. Conclusions: Our review indicates that few dysfunctions are detectable in patients with chest implanted CIED treated with ECV or ED. When an impanted patient undergoes ECV or ED procedures, caution is needed including CIED interrogation before and after the procedure.

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Section: Discussionmentioning

confidence: 99%

External Defibrillation/Cardioversion Protocol in Patients With an Implanted Cardioverter Defibrillator or Pacemaker: Systematic Review and Meta-Analysis

2022

AJCRAR

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“…This knowledge plays a crucial role in the early detection of problems, guaranteeing the delivery of appropriate medical treatments, and ultimately, contributing to improved patient health results. The pacemaker (PM) serves as an exemplary illustration of electronic devices that are surgically implanted in the thoracic or abdominal areas to precisely regulate the electrical signals of the heart, thereby ensuring a consistent and stable rhythm of cardiac activity [ 2 ]. The aforementioned functions emphasizes the crucial role of these devices within the broader context of cardiac care and the overall welfare of patients.…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review and Meta-analysis of the Prevalence and Risk Factors in Cardiac Implantable Electronic Device Malfunction

Saeed,

AlShafea,

AlQthami

et al. 2023

Journal of the Saudi Heart Association

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Introduction Cardiac implantable electronic devices (CIED) include permanent pacemakers (PPMs), implantable cardioverter defibrillators (ICDs), and cardiac resynchronization therapy (CRT) devices. They treat several cardiac issues and are dependent on batteries; however, similar to any medical equipment, they can fail. The prevalence and risk factors for CIED malfunction must be understood for earlier detection and better patient outcomes. Material and methods A comprehensive search was conducted through electronic bibliographic sources (PubMed and Cochrane) until January 2023 in order to identify reviews, cohort studies and case reports pertaining to CIED. The primary outcome is the probability of CIED malfunction. The secondary outcome concerned significant risk factors. Two authors independently extracted articles by utilizing pre-established data fields. Using a random-effects model, the aggregated prevalence and 95 % confidence intervals (CIs) were computed. Results The meta-analysis comprised eight review articles, twenty-two retrospective studies, and thirty-seven case reports from the systematic review. The eight review articles contained a CIED malfunction of 4.03 % (random-effects model). The pooled prevalence of CIED malfunction in the meta-analysis of 22 retrospective studies was 0.41 percent (using a fixed-effects model) and 8.01 percent (using a random-effects model). Moreover, age, pre-existing cardiac conditions, CIED type, lead placement, and medical device interactions all contributed to an increase in the heterogeneity (I2 = 98.90 %) of the risk of CIED malfunction. Conclusion CIED malfunction is common and more likely to occur in elderly individuals and in certain types of CIED. Clinicians should focus on risk factors and closely monitor the patients with higher probability for CIED malfunction with short intervals.

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Pacemaker Emergencies in the ER

Jerjes‐Sánchez

González-Rayas

2019

Cardiology in the ER

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Emergency Care of Patients with Pacemakers and Defibrillators

Cited by 6 publications

References 46 publications

External Defibrillation/Cardioversion Protocol in Patients With an Implanted Cardioverter Defibrillator or Pacemaker: Systematic Review and Meta-Analysis

External Defibrillation/Cardioversion Protocol in Patients With an Implanted Cardioverter Defibrillator or Pacemaker: Systematic Review and Meta-Analysis

A Systematic Review and Meta-analysis of the Prevalence and Risk Factors in Cardiac Implantable Electronic Device Malfunction

Pacemaker Emergencies in the ER

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