Why the study?
Does cardiac implantable electronic device (CIED) implantation after open heart surgery affect survival compared to a non-device group?
Does cardiac implantable electronic device (CIED) implantation after open heart surgery affect survival compared to a non-device group?
CIED implantation after open heart surgery is associated with a biphasic survival pattern, showing improved early survival but worse late survival compared to patients who do not receive a device.
Post-surgical CIED implantation shows biphasic survival in observational data; leaves open causality and does not support practice change pending prospective trials.
Despite an aging population, the incidence of CIED implantation after cardiac surgery remains low and varies by the type of operation. Follow-up suggests increased early survival but decreased late survival in patients who undergo CIED implantation compared with a non-device group.
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Wiggins et al. (2016) studied this question.
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