HeartRhythm

MARCH 31, 2025

The use of implantable loop recorders (ILRs) has become common practice to diagnose arrhythmias, potentially leading to the need for pacemakers (PM) or implantable cardioverter defibrillators (ICD).

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Pacemaker Defibrillator Arrhythmia 40

The New England Journal of Medicine

JANUARY 31, 2024

This review highlights new developments in cardiac implantable electronic devices, with an emphasis on pacemakers, newer modes of pacing, and implantable cardioverter–defibrillators.

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Defibrillator Pacemaker 74

HeartRhythm

APRIL 10, 2025

While alternative strategies, such as leadless pacemakers and non-transvenous implantable cardioverter-defibrillators (ICD) have been introduced, they are not suitable for all patients.

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Defibrillator Tricuspid Pacemaker 40

HeartRhythm

MARCH 31, 2025

Combining pacing therapies and defibrillation therapies in patients with contraindications to transvenous devices remains complex. The evolution of leadless solutions helps address some of these clinical challenges.

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Defibrillator Pacemaker 40

HeartRhythm

MARCH 31, 2025

Managing a leadless pacemaker (Micra) and an extra-vascular ICD (EV-ICD) requires precise programming to prevent interactions. This case presents programming strategies for a patient with prior device infection needing both bradycardia pacing and defibrillator protection.

Pacemaker 40

Pacemaker Bradycardia Defibrillator 40

HeartRhythm

APRIL 30, 2024

The AutoCaptureTM algorithm is used in pacemakers and implantable cardioverter defibrillators to perform pacing threshold tests, detect failure to capture, and adjust energy output to ensure capture beat-by-beat.

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Pacemaker Defibrillator 40

HeartRhythm

JUNE 19, 2024

The subcutaneous implantable cardioverter-defibrillator (S-ICD) has emerged as a feasible alternative for the transvenous ICD in the treatment of ventricular tachyarrhythmias in patients without pacing or cardiac resynchronization therapy indications.

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Defibrillator Pacemaker Innovation Technology 45

HeartRhythm

JULY 3, 2024

A 50-year-old woman with dextrocardia and D-transposition of the great arteries presented with a “RV defib lead impedance” remote-monitoring alert from her implantable cardioverter defibrillator (ICD). An epicardial pacemaker was implanted. In 2012, she had a ventricular fibrillation cardiac arrest.

Defibrillator 40

Defibrillator Cardiac Arrest Pacemaker Stents 40

HeartRhythm

MAY 15, 2024

Subcutaneous implantable cardioverter defibrillators (S-ICD) are a safe and effective alternative to transvenous ICDs for patients at risk for ventricular tachyarrhythmias.1 2 Novel extravascular ICDs or modular device systems, which combine an S-ICD with a leadless pacemaker, offer the benefits of an S-ICD with the option for ATP.

Defibrillator 40

Defibrillator Tachycardia Pacemaker 40

HeartRhythm

APRIL 30, 2024

Tricuspid regurgitation (TR) is a common valvular disorder with a spectrum of etiologies including mechanical disturbance of the tricuspid valve by catheters, wires, and the presence of a pacemaker or defibrillator.

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Tricuspid Pacemaker Defibrillator 40

HeartRhythm

APRIL 30, 2024

Cardiac rhythm management devices including pacemakers (PM) and implantable cardioverter defibrillators (ICD) can be life-saving and improve quality of life. However, PM and ICD lead malfunction and failure can occur and when severe enough result in recall.

Pacemaker 40

Pacemaker Quality of Life Defibrillator 40

Frontiers in Cardiovascular Medicine

APRIL 3, 2025

Primary endpoint was the incidence of patients with new onset supraventricular arrhythmia (AF, atrial flutter or any supraventricular tachycardia) lasting >30s, post PFO closure.ResultsA total of 59 patients met the inclusion criteria.

Arrhythmia 40

Arrhythmia Atrial Flutter Atrial Fibrillation Defibrillator 40

HeartRhythm

MARCH 12, 2024

Many patients with mild to moderately reduced left ventricular ejection fraction (LVEF) that require permanent pacemaker (PPM) implantation do not have a concurrent indication for implantable cardioverter-defibrillator (ICD) therapy. However, the risk of ventricular tachycardia/fibrillation (VT/VF) in this population is unknown.

Pacemaker 40

Pacemaker Defibrillator Arrhythmia Tachycardia 40

Journal of Cardiovascular Electrophysiology

JANUARY 8, 2024

Methods We conducted a retrospective observational study including 1691 consecutive patients implanted with an active fixation pacing and defibrillator lead at our institution between January 2015 and January 2021. Results Univariate and multivariate analyses were used to identify predictors of RV perforation.

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Defibrillator Pacemaker Article 40

HeartRhythm

MARCH 31, 2025

Subcutaneous implantable cardiac monitors (ICM) have the capability to detect cardiac arrhythmia that may lead to pacemaker or defibrillator therapies.

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Preserved Ejection Fraction Defibrillator Pacemaker Heart Failure 40

HeartRhythm

MARCH 31, 2025

In cases of endocarditis involving implantable cardioverter-defibrillator (ICD) and pacemaker lead vegetations, there is a risk of embolic phenomenon during lead extraction.

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Defibrillator Embolism Pacemaker 40

Medical Xpress - Cardiology

FEBRUARY 20, 2025

Researchers have now found a way to combine right ventricular (RV) septal EMB, exploiting the benefit of 3D curved conduction system pacing (CSP) sheaths, with subsequent cardiac implantable electronic device (CIED, devices like pacemakers or defibrillators to regulate heart rhythm) implantation, using the same sheath.

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Heart Rhythm Defibrillator Pacemaker Research 52

ECG Guru

DECEMBER 18, 2023

If ventricular tachycardia occurs in an Implantable Cardioverter Defibrillator (ICD) wearer, the ICD can combat this with 2 different forms of therapy, provided these are activated (which can be done using a programming device). The fastest pacemaker gets control of the heart. First, the ICD attempts to override the tachycardia.

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Tachycardia Defibrillator Pacemaker 52

ECG Guru

DECEMBER 21, 2023

If ventricular tachycardia occurs in an Implantable Cardioverter Defibrillator (ICD) wearer, the ICD can combat this with 2 different forms of therapy, provided these are activated (which can be done using a programming device). The fastest pacemaker gets control of the heart. First, the ICD attempts to override the tachycardia.

Tachycardia 51

Tachycardia Defibrillator Pacemaker 51

Circulation

JULY 10, 2024

The rapid technological advancements in cardiac implantable electronic devices such as pacemakers, implantable cardioverter defibrillators, and loop recorders, coupled with a rise in the number of patients with these devices, necessitate an updated clinical framework for periprocedural management.

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Defibrillator Pacemaker Technology Nursing 49

HeartRhythm

MARCH 31, 2025

Remote monitoring transmissions from pacemakers and implantable cardiac defibrillators (ICD) for atrial high rate events (AHREs) include many false positive transmissions that are time consuming to manually verify. Identification of true atrial tachycardia/atrial fibrillation (AT/AF) has important implications for patient management.

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Atrial Fibrillation Defibrillator Pacemaker Tachycardia 40

HeartRhythm

MARCH 31, 2025

MODULAR ATP, a global clinical trial, assessed a subcutaneous ICD (S-ICD) in wireless communication with a novel leadless pacemaker (LP) to deliver ATP or shock therapy (Tx). The S-ICD requests the LP to deliver ATP at programmable detection rates that are confirmed by the LP.

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Defibrillator Pacemaker Arrhythmia 40

HeartRhythm

MARCH 31, 2025

Lead extraction requires an over-the-lead cutting tool (sheath) that applies laser or mechanical energy. However, these tools pose significant risks of collateral damage and major bleeding. We hypothesized a novel rapid vibration could safely separate leads from adherent tissue.

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Defibrillator Pacemaker 40

HeartRhythm

MARCH 31, 2025

Device removal and lead extraction are the standard treatment for pacemaker (PM) and implantable cardioverter defibrillator (ICD) pocket infections. Some patients are poor candidates for lead extraction due to age, frailty or co-morbidities that place them at high risk of complications from the procedure.

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Defibrillator Pacemaker 40

Medical Xpress - Cardiology

DECEMBER 12, 2023

Your heart's job is to keep your pulse steady to pump blood throughout your body. Sometimes your heart rate is slower when you're relaxing, and sometimes it's faster when you're exercising or stressed. If your heart's ability to keep the beat starts to go awry, cardiac electrophysiologists like me look for outside help from an implantable device.

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Defibrillator Pacemaker Exercise 40

HeartRhythm

MARCH 31, 2025

Current Cardiac Implantable Electronic Devices (CIEDs) such as pacemakers and defibrillators have MRI conditional labeling. However, many patients with these devices also have other intracardiac devices. There are limited data on the safety of MRIs in these circumstances.

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Defibrillator Pacemaker 40

HeartRhythm

MARCH 31, 2025

MODULAR ATP, a multicenter, international trial, assesses a subcutaneous ICD (S-ICD) in wireless communication to a novel leadless pacemaker (LP), delivering bradycardia pacing, ATP, or shock therapy. Upon detecting VT/VF, the S-ICD requests the LP to deliver ATP, and transitions to a sensitive detection profile (Figure, panels A&E).

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Defibrillator Bradycardia Arrhythmia Pacemaker 40

HeartRhythm

MARCH 31, 2025

Besides traditional pacemakers (PPM) and implantable cardioverter defibrillators (ICD), the past decade has seen proliferation of cardiac devices receiving US Food and Drug Administration (FDA) approval. Device malfunctions warrant an advisory by the FDA.

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Defibrillator Pacemaker 40

HeartRhythm

APRIL 30, 2024

Change in TR severity with transvenous pacemaker (PPM) and implantable cardioverter defibrillator lead extraction has been poorly studied. Severe Tricuspid Regurgitation (TR) is associated with increased mortality.

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Tricuspid Defibrillator Pacemaker 40

ECG Guru

DECEMBER 18, 2023

If this is not successful, the defibrillator function is used. The ICD then starts with the ATP over 16 beats, easily recognizable by the pacemaker spikes. First, the ICD attempts to overstimulate the tachycardia. Here you can see the limb leads. Initially there is a relatively slow ventricular tachycardia with a heart rate of approx.

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Tachycardia Defibrillator Pacemaker 52

HeartRhythm

JANUARY 2, 2024

In patients with heart failure (HF) undergoing left bundle branch area pacing (LBBAP) for cardiac resynchronization therapy (CRT) without a defibrillator (e.g., elderly patients or non-ischemic cardiomyopathy, in whom the use of a defibrillator has been questioned),1 the use of a right ventricular (RV) lead may not be necessary.

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Reimbursement Defibrillator Pacemaker Heart Failure 40

The British Journal of Cardiology

DECEMBER 3, 2024

Options include a ‘watch-and-wait’ policy, anti-arrhythmic drugs, consideration of a permanent pacemaker or, alternatively, a wearable or implantable cardioverter-defibrillator (ICD). The case encapsulates the difficulties facing clinicians with such pathology and the need to further investigate and risk stratify such patients.

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Defibrillator Pacemaker Heart Rhythm Cardiomyopathy 40

DAIC

JANUARY 29, 2025

AFHCUs included clinical actions such as ablation, cardioversion, initiation/intensification of rate or rhythm control medication, or progression to a pacemaker or implantable cardioverter-defibrillator. i Centers for Disease Control and Prevention. 2024, May 15). About Atrial Fibrillation. Centers for Disease Control and Prevention.

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AFIB Atrial Fibrillation Quality of Life Heart Rhythm 52

HeartRhythm

JULY 30, 2024

Herein, we describe a novel approach for the creation of a neo-superior vena cava (SVC) in the setting of chronic SVC occlusion to facilitate the placement of a transvenous pacemaker device.

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Defibrillator Pacemaker 40

Dr. Smith's ECG Blog

JANUARY 2, 2025

Place temporary pacemaker 3. Because she has cardiomyopathy and ventricular dysrhythmias, the pacer included an Implanted Cardioverter-Defibrillator (ICD) Echo 6 days later after CRT: Normal estimated left ventricular ejection fraction. See this post: How a pause can cause cardiac arrest 2. No wall motion abnormality.

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Tachycardia Cardiomyopathy Blog Bradycardia 115

DAIC

FEBRUARY 14, 2024

Select procedures performed outside the hospital setting—such as diagnostic cardiac catheterization, non-acute percutaneous coronary interventions and defibrillator and pacemaker implantations—closely intersect with existing data collection occurring in the NCDR CathPCI Registry and EP Device Implant Registry.

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Outpatient Hospital Reimbursement Medicaid 105

HeartRhythm

APRIL 30, 2024

Subclinical atrial fibrillation (SCAF) is commonly detected in older individuals with an implanted pacemaker or defibrillator. The evolution of implantable and wearable cardiac monitors has increased interest in screening for SCAF in a broader population of individuals at increased risk of stroke.

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Atrial Fibrillation Stroke Strokes Defibrillator 40