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December 4, 2023Circulation
Update on Cardiovascular Implantable Electronic Device Infections and Their Prevention, Diagnosis, and Management: A Scientific Statement From the American Heart Association
Why the study?
Major advances in the prevention, diagnosis, and management of cardiovascular implantable electronic device infections have occurred since the 2010 scientific statement, necessitating an update.
Structured PICO
P
Population
Patients with cardiovascular implantable electronic device infection
I
Intervention
Prevention, diagnosis, and management strategies for cardiovascular implantable electronic device infections
This updated AHA scientific statement provides current clinical guidance on the prevention, diagnosis, and management of cardiovascular implantable electronic device infections.
Discussion
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Key expert perspectives
Captured external expert commentary on this paper, strongest first. Original sources are linked where available.
“We want to keep devices that are not infected in the patient's body. If it's infected, we want to take it out. It's not one part that's taken out, it's the whole device, the entire system. And that comes with risk to the patient, morbidity as well as mortality. In addition to that, [there's] significant financial cost to the healthcare system.”
“These patients are usually older and have multiple comorbid conditions and deserve multispecialty care in larger-volume medical centers.”
Implication
Clinical clause: Synthesizes current best practices for CIED infection management.
Cite This Study
Baddour et al. (2023) conducted a review in Cardiovascular implantable electronic device infection. This updated scientific statement from the American Heart Association highlights recent advances in the prevention, diagnosis, and management of cardiovascular implantable electronic device infections.