Key result
Various methods, including new batteries, drug-eluting leads, pacing algorithms, and remote monitoring, can prolong cardiac device longevity and reduce healthcare costs associated with replacements.
Technological advancements and optimal programming to prolong cardiac device battery longevity, along with remote monitoring, are crucial for reducing device replacements, infection risks, and healthcare costs.
May guide device selection and programming to cut replacements; leaves open prospective trials before practice change.
The number of device implantations is in constant increase due to the ageing population, extended indications to implant for preventing sudden cardiac death and treating heart failure. An increase in the number of implants is directly related to a higher number of device replacements and that is one of the most important risk factors for device infection. Therefore, all the above mentioned factors contribute to an increase in the cost for health care system. Currently, several methods help to prolong device battery longevity and consequently reduce the costs, such as: a new battery, drug eluting leads, high impedance leads, algorithm to minimize unnecessary pacing, capture management and correct programming to avoid inappropriate and unnecessary shock in Implantable Cardioverter Defibrillators and Cardiac Resynchronization Therapy devices. Furthermore remote monitoring is very promising to reduce health system costs related to devices.
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Capucci et al. (2016) conducted a review in Cardiac rhythm management device implantation. Methods to prolong device battery longevity (e.g., new batteries, drug-eluting leads, pacing algorithms, remote monitoring) was evaluated. Various methods, including new batteries, drug-eluting leads, pacing algorithms, and remote monitoring, can prolong cardiac device longevity and reduce healthcare costs associated with replacements.
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