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Attitudes of Implanting Physicians about Cardiac Rhythm Management Devices and Their Features

Modern cardiac rhythm management systems have become increasingly complex. The decision on which specific system to implant in a given patient often rests with the implanting physician. We conducted a multiple-choice survey to assess the opinions and preferences of cardiologists and electrophysiolog...

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Autores principales: Elmouchi, Darryl A., Chalfoun, Nagib, Gauri, Andre
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3888691/
https://www.ncbi.nlm.nih.gov/pubmed/24490084
http://dx.doi.org/10.1155/2013/247586
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author Elmouchi, Darryl A.
Chalfoun, Nagib
Gauri, Andre
author_facet Elmouchi, Darryl A.
Chalfoun, Nagib
Gauri, Andre
author_sort Elmouchi, Darryl A.
collection PubMed
description Modern cardiac rhythm management systems have become increasingly complex. The decision on which specific system to implant in a given patient often rests with the implanting physician. We conducted a multiple-choice survey to assess the opinions and preferences of cardiologists and electrophysiologists who implant and follow cardiac rhythm management systems. Reliability and battery longevity were viewed as the most important characteristics in device selection. Patient characteristics which most affected device choice were pacing indication and life expectancy. Remote technology was used in 47% of pacemaker patients, 64% of ICD patients, and 65% of CRT-D patients, with wireless (radiofrequency) remote patient monitoring associated with higher patient compliance rates (74% versus 64%, resp.). Wireless remote patient management with alerts for atrial tachyarrhythmias was felt to be important by 76% of respondents. When choosing an MR-conditional device, physicians deemed patients with prior orthopedic problems, a history of cancer, or neurological disorders to be more likely to require a future MRI. Device longevity and reliability remain the most important factors which influence device selection. Wireless remote patient monitoring with alerts is considered increasingly important when choosing a specific cardiac rhythm management system to implant.
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spelling pubmed-38886912014-02-02 Attitudes of Implanting Physicians about Cardiac Rhythm Management Devices and Their Features Elmouchi, Darryl A. Chalfoun, Nagib Gauri, Andre ISRN Cardiol Research Article Modern cardiac rhythm management systems have become increasingly complex. The decision on which specific system to implant in a given patient often rests with the implanting physician. We conducted a multiple-choice survey to assess the opinions and preferences of cardiologists and electrophysiologists who implant and follow cardiac rhythm management systems. Reliability and battery longevity were viewed as the most important characteristics in device selection. Patient characteristics which most affected device choice were pacing indication and life expectancy. Remote technology was used in 47% of pacemaker patients, 64% of ICD patients, and 65% of CRT-D patients, with wireless (radiofrequency) remote patient monitoring associated with higher patient compliance rates (74% versus 64%, resp.). Wireless remote patient management with alerts for atrial tachyarrhythmias was felt to be important by 76% of respondents. When choosing an MR-conditional device, physicians deemed patients with prior orthopedic problems, a history of cancer, or neurological disorders to be more likely to require a future MRI. Device longevity and reliability remain the most important factors which influence device selection. Wireless remote patient monitoring with alerts is considered increasingly important when choosing a specific cardiac rhythm management system to implant. Hindawi Publishing Corporation 2013-12-26 /pmc/articles/PMC3888691/ /pubmed/24490084 http://dx.doi.org/10.1155/2013/247586 Text en Copyright © 2013 Darryl A. Elmouchi et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Elmouchi, Darryl A.
Chalfoun, Nagib
Gauri, Andre
Attitudes of Implanting Physicians about Cardiac Rhythm Management Devices and Their Features
title Attitudes of Implanting Physicians about Cardiac Rhythm Management Devices and Their Features
title_full Attitudes of Implanting Physicians about Cardiac Rhythm Management Devices and Their Features
title_fullStr Attitudes of Implanting Physicians about Cardiac Rhythm Management Devices and Their Features
title_full_unstemmed Attitudes of Implanting Physicians about Cardiac Rhythm Management Devices and Their Features
title_short Attitudes of Implanting Physicians about Cardiac Rhythm Management Devices and Their Features
title_sort attitudes of implanting physicians about cardiac rhythm management devices and their features
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3888691/
https://www.ncbi.nlm.nih.gov/pubmed/24490084
http://dx.doi.org/10.1155/2013/247586
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