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Comparation of quality of life in Chinese patients undergoing leadless versus conventional pacemaker implantation

BACKGROUND: Leadless pacemakers are widely used, but the quality of life assessment of patients with leadless pacemakers is still unclear. HYPOTHESIS: Assume that leadless pacemakers can improve the patients' quality of life. METHODS: Total of 119 patients who received pacemaker implantation at...

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Autores principales: Yu, Miao, Li, Yue P., Shi, Dong M., Zhou, Yu J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9849428/
https://www.ncbi.nlm.nih.gov/pubmed/36321636
http://dx.doi.org/10.1002/clc.23939
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author Yu, Miao
Li, Yue P.
Shi, Dong M.
Zhou, Yu J.
author_facet Yu, Miao
Li, Yue P.
Shi, Dong M.
Zhou, Yu J.
author_sort Yu, Miao
collection PubMed
description BACKGROUND: Leadless pacemakers are widely used, but the quality of life assessment of patients with leadless pacemakers is still unclear. HYPOTHESIS: Assume that leadless pacemakers can improve the patients' quality of life. METHODS: Total of 119 patients who received pacemaker implantation at Beijing Anzhen Hospital from January 2020 to March 2022 were selected, including 35 leadless pacemakers and 84 conventional pacemakers. The SF‐36 questionnaire was used to evaluate quality of life at baseline, 1 month and 3 months after surgery. We also used a questionnaire consisted of 4 specific questions related to the implant procedure to assess the surgery. RESULTS: There were no differences in baseline characteristics between the two groups, except for age and oral anticoagulant treatment. There was no difference in baseline SF‐36 scores. At the 3‐month follow‐up, patients in leadless pacemakers group were significantly better at physical function (63.63 vs 47.50, p = .000), role physical (60.20 vs 40.23, p = .000), bodily pain (65.57 vs. 61.69, p = .042), physical component summary (61.25 vs. 50.57, p = .000), vitality (56.26 vs 49.57, p = .001), social function (80.14 vs 74.70, p = .004), role emotional (76.14 vs. 71.42, p = .015), mental health (75.46 vs. 68.18, p = .000), mental component summary (72.00 vs. 65.97, p = .000), even after adjusting for clinical baseline and SF‐36 baseline. Pacemaker‐related discomfort and mobility limitations were significantly reduced in leadless pacemakers group. CONCLUSIONS: Leadless pacemakers is associated with better quality of life with less activity limitations due to surgical discomfort and less emotional distress. However, current use of leadless pacemakers in China is limited due to the high cost.
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spelling pubmed-98494282023-01-24 Comparation of quality of life in Chinese patients undergoing leadless versus conventional pacemaker implantation Yu, Miao Li, Yue P. Shi, Dong M. Zhou, Yu J. Clin Cardiol Clinical Investigations BACKGROUND: Leadless pacemakers are widely used, but the quality of life assessment of patients with leadless pacemakers is still unclear. HYPOTHESIS: Assume that leadless pacemakers can improve the patients' quality of life. METHODS: Total of 119 patients who received pacemaker implantation at Beijing Anzhen Hospital from January 2020 to March 2022 were selected, including 35 leadless pacemakers and 84 conventional pacemakers. The SF‐36 questionnaire was used to evaluate quality of life at baseline, 1 month and 3 months after surgery. We also used a questionnaire consisted of 4 specific questions related to the implant procedure to assess the surgery. RESULTS: There were no differences in baseline characteristics between the two groups, except for age and oral anticoagulant treatment. There was no difference in baseline SF‐36 scores. At the 3‐month follow‐up, patients in leadless pacemakers group were significantly better at physical function (63.63 vs 47.50, p = .000), role physical (60.20 vs 40.23, p = .000), bodily pain (65.57 vs. 61.69, p = .042), physical component summary (61.25 vs. 50.57, p = .000), vitality (56.26 vs 49.57, p = .001), social function (80.14 vs 74.70, p = .004), role emotional (76.14 vs. 71.42, p = .015), mental health (75.46 vs. 68.18, p = .000), mental component summary (72.00 vs. 65.97, p = .000), even after adjusting for clinical baseline and SF‐36 baseline. Pacemaker‐related discomfort and mobility limitations were significantly reduced in leadless pacemakers group. CONCLUSIONS: Leadless pacemakers is associated with better quality of life with less activity limitations due to surgical discomfort and less emotional distress. However, current use of leadless pacemakers in China is limited due to the high cost. John Wiley and Sons Inc. 2022-11-02 /pmc/articles/PMC9849428/ /pubmed/36321636 http://dx.doi.org/10.1002/clc.23939 Text en © 2022 The Authors. Clinical Cardiology published by Wiley Periodicals, LLC. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Investigations
Yu, Miao
Li, Yue P.
Shi, Dong M.
Zhou, Yu J.
Comparation of quality of life in Chinese patients undergoing leadless versus conventional pacemaker implantation
title Comparation of quality of life in Chinese patients undergoing leadless versus conventional pacemaker implantation
title_full Comparation of quality of life in Chinese patients undergoing leadless versus conventional pacemaker implantation
title_fullStr Comparation of quality of life in Chinese patients undergoing leadless versus conventional pacemaker implantation
title_full_unstemmed Comparation of quality of life in Chinese patients undergoing leadless versus conventional pacemaker implantation
title_short Comparation of quality of life in Chinese patients undergoing leadless versus conventional pacemaker implantation
title_sort comparation of quality of life in chinese patients undergoing leadless versus conventional pacemaker implantation
topic Clinical Investigations
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9849428/
https://www.ncbi.nlm.nih.gov/pubmed/36321636
http://dx.doi.org/10.1002/clc.23939
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