Society position statement

Laparoscopic cholecystectomy in patients with a cardiovascular implantable electronic device: A single-center experience

“…Patients with CIED can be taken into surgery if appropriate measures are taken. [6] An underlying cardiac disease which may include arrhythmic conditions like sinoatrial node dysfunction, AV block, atrial fibrillation (AF), and ventricular tachycardia (VT) is always present in patients with CIED. The Heart Rhythm Society (HRS) and the ASA have jointly issued an expert consensus statementin July 2011, which was also approved by the American College of Cardiology (ACC) and the American Heart Association (AHA), in order to assist clinicians in the perioperative evaluation and management of patients with CIED.…”

Anaesthetic consideration in patients with cardiac implantable electronic devices scheduled for surgery

“…The rhythm and functioning of the CIED must be reconfirmed in the pre-operative period. [ 21 22 23 24 25 26 27 28 29 30 ] In most patients, this can be accomplished by accessing the results of a recent interrogation of the CIED. This is performed by trained technicians, whose contact details are available with the patient or the cardiologist.…”

“…The use has been advocated by certain societies. [ 21 25 ] However, the routine use of the magnet is not encouraged. [ 22 23 30 ] When a magnet is applied on a PPM, asynchronous pacing will be initiated and when applied on an AICD anti-tachyarrhythmia detection is suspended but not pacing capabilities.…”

Increasing Rates of Infective Endocarditis in Patients with Inflammatory Bowel Disease

“…Such a rise has been attributed to an increase in the number of at-risk populations for developing IE [1,[3][4]. Increased survival in IE-prone groups, such as those with prosthetic or implantable cardiac devices and those with congenital heart disease, is believed to play a role [5][6][7]. Furthermore, rising rates of intravenous drug use (IVDU) and a rise in the prevalence of immunosuppressed patients are likely to contribute [3][4]7].…”