Cardiac Electronic Devices: Future Directions and Challenges
Agnieszka Kotalczyk,1,2 Zbigniew Kalarus,2 David Justin Wright,1 Giuseppe Boriani,3 Gregory Y H Lip1,2 1Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart and Chest Hospital, Liverpool, UK; 2Department of Cardiology, Congenital Heart Diseases and Electrotherapy,...
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| Formato: | article |
| Lenguaje: | EN |
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Dove Medical Press
2020
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| Acceso en línea: | https://doaj.org/article/0f50ec123eb8433e8f4f1a10de49c5f8 |
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| Sumario: | Agnieszka Kotalczyk,1,2 Zbigniew Kalarus,2 David Justin Wright,1 Giuseppe Boriani,3 Gregory Y H Lip1,2 1Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart and Chest Hospital, Liverpool, UK; 2Department of Cardiology, Congenital Heart Diseases and Electrotherapy, Medical University of Silesia, Silesian Centre for Heart Diseases, Zabrze, Poland; 3Cardiology Division, Department of Biomedical, Metabolic, and Neural Sciences, University of Modena and Reggio Emilia, Policlinico di Modena, Modena, ItalyCorrespondence: Gregory Y H Lip Email gregory.lip@liverpool.ac.ukAbstract: Cardiovascular implantable electronic devices (CIEDs) are essential management options for patients with brady- and tachyarrhythmias or heart failure with concomitant optimal pharmacotherapy. Despite increasing technological advances, there are still gaps in the management of CIED patients, eg, the growing number of lead- and pocket-related long-term complications, including cardiac device–related infective endocarditis, requires the greatest care. Likewise, patients with CIEDs should be monitored remotely as a part of a comprehensive, holistic management approach. In addition, novel technologies used in smartwatches may be a convenient tool for long-term atrial fibrillation (AF) screening, especially in high-risk populations. Early detection of AF may reduce the risk of stroke and other AF-related complications. The objective of this review article was to provide an overview of novel technologies in cardiac rhythm–management devices and future challenges related to CIEDs.Keywords: cardiovascular implantable electronic devices, CIEDs, pacemaker, implantable cardioverter–defibrillator, cardiac resynchronization therapy, remote monitoring, wearable technology |
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