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October 13, 2011Heart

The ethics of pacemaker reuse: might the best be the enemy of the good?

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Population

Patients requiring pacemakers in low and middle income countries, commonly presenting with complete heart…

Design

Editorial

Authors

KAKrishna G. AragamPreventive CardiologyTBTimir S. BamanUniversity of North Carolina at Chapel HillJKJ. N. KirkpatrickUniversity of California, Davis

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Implication

Substantial pacemaker waste persists despite donation support; leaves open scalable, regulated reuse programs for LMIC.

Structured PICO

P
Population
Patients requiring pacemakers in low and middle income countries (LMIC), commonly presenting with complete heart block.
I
Intervention
Post mortem explantation, resterilisation, and reuse of pacemakers.

Reusing explanted pacemakers from deceased donors could provide a viable solution to the lack of access to electrophysiological therapies in low and middle-income countries.

Cite This Study

Aragam et al. (2011) studied this question.

synapsesocial.com/papers/6a72da5c52863cde50543981https://doi.org/10.1136/heartjnl-2011-301031
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Re-used pacemakers—as safe as new? A retrospective case-control study1998 · 63 citations
  2. 2Safety of Pacemaker Reuse2011 · 79 citations
  3. 3Bradypacing: Indications and Management Challenges in Nigeria2007 · 17 citations
  4. 4Ethical tensions in solid organ transplantation: The price of success2006 · 13 citations