Impact of raising the upper extremity siding cardiac implantable electrical devices on postoperative safety

Takeda, Tomonori; Tsubaki, Atsuhiro; Ikeda, Yoshifumi; Kato, Ryuichi; Kojima, Sho; Makita, Shigeru

doi:10.1002/joa3.12884

Cited by 5 publications

(1 citation statement)

References 27 publications

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“…Pharmacists: Medication management is a critical aspect of arrhythmia care. Pharmacists can assist in selecting the right medications, adjusting dosages, and monitoring for potential drug interactions [ 40 ].…”

Section: Reviewmentioning

confidence: 99%

Holistic Approaches to Arrhythmia Management: Combining Medication, Ablation, and Device Interventions

Chaudhary,

Dev,

Kumari

et al. 2023

Cureus

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This narrative review investigates the severe health issue of arrhythmias, which affects millions of people worldwide. A multifaceted strategy incorporating medicine, catheter ablation, and advanced device interventions is necessary to manage these disorders effectively. Medication is the cornerstone, and as antiarrhythmic medications develop, their efficacy and side effects are reduced. Success depends on having individualized treatment strategies that consider patient profiles and arrhythmia type. Catheter ablation, a minimally invasive surgery that targets and removes faulty heart electrical circuits, has become a potent therapy when drugs are ineffective. Technological developments, including high-resolution mapping systems and customized catheters, improve precision. Pacemakers and implantable cardioverter-defibrillators (ICDs) are two examples of implantable cardiac devices essential to managing all types of arrhythmias. Pacemakers provide a regular heartbeat when the body's natural pacing mechanism fails. At the same time, ICDs, with cutting-edge algorithms, can identify and stop life-threatening arrhythmias and offer high-risk patients vital protection. As device technology advances, smaller, more durable devices become available, improving patient comfort and lowering the need for replacements. The seamless fusion of these three strategies is where holistic arrhythmia management shines. Even for difficult instances, customized combination therapy combining medicine, ablation, and device interventions offers complete solutions. Healthcare providers must collaborate for this integrated strategy to deliver personalized, efficient, and holistic care. In conclusion, the management of arrhythmias has developed into a dynamic, synergistic discipline where drugs, catheter ablation, and devices all work in concert to deliver comprehensive care. For those with arrhythmias, a patient-centered strategy that considers their particular patient features and best integrates different modalities can significantly enhance their quality of life. The effectiveness and accessibility of holistic arrhythmia management could be further improved because of ongoing developments in these fields, which is encouraging for patients and medical professionals.

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Section: Reviewmentioning

confidence: 99%

Holistic Approaches to Arrhythmia Management: Combining Medication, Ablation, and Device Interventions

Chaudhary,

Dev,

Kumari

et al. 2023

Cureus

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2024 HRS expert consensus statement on arrhythmias in the athlete: Evaluation, treatment, and return to play

Lampert,

Chung,

Ackerman

et al. 2024

Heart Rhythm

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Optimizing Recovery: A Systematic Scoping Review of Upper Extremity Exercise Immediately after Cardiac Implantable Electronic Device Implantation

Jayaprabha Surendran,

Jacob,

Loureiro Diaz

et al. 2024

Cardiology

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Background Cardiac Implantable Electronic Devices (CIEDs), including pacemakers, defibrillators, and resynchronization devices, significantly enhance patient outcomes, reduce sudden cardiac death, and improve health-related quality of life. CIED implantation is associated to persistent shoulder dysfunction in a considerable number of patients one-year post-implantation. This may result in disability, diminished quality of life, work absenteeism, and negative psychological effects. Restoring upper extremity function after CIED implantation should be a standard of cardiovascular care. Our systematic scoping review aimed to summarize available evidence, addressing vital questions about safety, effectiveness, exercise type, and time of exercise initiation immediately after CIED implantation. Methods We conducted a comprehensive literature search in five electronic databases for original research in English, and a manual search on the references of included studies. We used Rayyan web application for study selection, and PRISMA-ScR to conduct and report the review. We assessed methodological quality using Cochrane Risk of Bias Assessment Tool and Joanna Briggs Institute critical appraisal checklists. Results This review included six studies that used upper extremity pendular, range of motion, stretching and strengthening exercises. Initiation time varied from first post-operative day to second post-operative week. All studies showed significant association between active upper extremity exercise and reduced dysfunction and disability after CIED implantation. There were no significant differences in complication rates between control and experimental groups. Conclusions A limited number of low-to-average quality studies suggest active upper extremity exercise immediately after CIED implantation is safe, effective at reducing dysfunction, and improves quality of life. Higher-quality studies are needed to validate these findings.

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Impact of raising the upper extremity siding cardiac implantable electrical devices on postoperative safety

Cited by 5 publications

References 27 publications

Holistic Approaches to Arrhythmia Management: Combining Medication, Ablation, and Device Interventions

Holistic Approaches to Arrhythmia Management: Combining Medication, Ablation, and Device Interventions

2024 HRS expert consensus statement on arrhythmias in the athlete: Evaluation, treatment, and return to play

Optimizing Recovery: A Systematic Scoping Review of Upper Extremity Exercise Immediately after Cardiac Implantable Electronic Device Implantation

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