Long-Term Implications of Pacemaker Insertion in Younger Adults: A Single Centre Experience

Use of a leadless pacemaker in the management of swallow syncope: A case report

“…The overall risk of long-term device-related complication ranges from 6% to 11%, with younger and more active patients felt to be more vulnerable to lead complications. [8][9][10] Several case-control studies have shown lower rates of serious complications for leadless pacemakers, with a recent meta-analysis demonstrating that Micra has a 51% lower odds of complications when compared to traditional transvenous systems, and over 90% of devices have an acceptable capture threshold at 1 year. 11 Leadless pacemakers have been shown to be very well tolerated, particularly in younger patients, with data suggesting improved quality of life scores across both physical health and mental health domains when compared to transvenous systems.…”

“…Avoiding device‐related complications in young patients is paramount given the cumulative lifetime risk, and the incidence of these complications is not insignificant. The overall risk of long‐term device‐related complication ranges from 6% to 11%, with younger and more active patients felt to be more vulnerable to lead complications 8–10 . Several case‐control studies have shown lower rates of serious complications for leadless pacemakers, with a recent meta‐analysis demonstrating that Micra has a 51% lower odds of complications when compared to traditional transvenous systems, and over 90% of devices have an acceptable capture threshold at 1 year 11 .…”