Leadless Pacemakers: The "Leading Edge" of Quality of Life in Cardic Electrophysiology

Samuel F. Sears; Elizabeth W Jordan; Zeba Hashmath; Maeve M. Sargeant; John Catanzaro; Rajasekhar Nekkanti; Ghanshyam Shantha

doi:10.1007/s11886-025-02228-5

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Leadless Pacemakers: The "Leading Edge" of Quality of Life in Cardic Electrophysiology

Journal article

Open access

Peer reviewed

Leadless Pacemakers: The "Leading Edge" of Quality of Life in Cardic Electrophysiology

Samuel F. Sears, Elizabeth W Jordan, Zeba Hashmath, Maeve M. Sargeant, John Catanzaro, Rajasekhar Nekkanti and Ghanshyam Shantha

Current cardiology reports, Vol.27(1), p.77

03/31/2025

DOI: 10.1007/s11886-025-02228-5

PMID: 40163218

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Abstract

Purpose of the Review Permanent pacemakers (PPMs) are common cardiac implantable devices indicated for patients with bradycardia or tachycardia. Currently, PPMs include both transvenous pacemakers (TV-PM) and leadless pacemakers (L-PM). This paper reviews the existing data on L-PM technology including: a) medical aspects and indications, b) patient experience and quality of life (QOL) outcome studies, and c) recommendations for optimizing patient QOL through enhanced knowledge and shared decision-making. Recent Findings This review includes the seven papers that report on patient-reported outcomes (PRO) in leadless pacemakers and indicate that QOL is as good, if not better, than TV-PM. Existing evidence from descriptive statistics suggests that patients with L-PM report high levels of patient acceptance and satisfaction with esthetic appearance (96%), recovery (91%), and level of physical activity (74%). Summary Leadless pacemakers provide an attractive alternative for the indicated potential patient. The evidence demonstrates the benefits of L-PM such as a minimal implant and lack of leads. Recommendations for future research indicate that electrophysiology-specific metrics are essential and control for the common co-morbidities in the PM population are needed.

Cardiac & Cardiovascular Systems

Cardiovascular System & Cardiology

Life Sciences & Biomedicine

Science & Technology

Details

Title: Subtitle: Leadless Pacemakers: The "Leading Edge" of Quality of Life in Cardic Electrophysiology
Creators: Samuel F. Sears - East Carolina University
Elizabeth W Jordan - East Carolina University
Zeba Hashmath - Tulane University
Maeve M. Sargeant - East Carolina University
John Catanzaro - East Carolina University
Rajasekhar Nekkanti - East Carolina University
Ghanshyam Shantha - East Carolina University
Resource Type: Journal article
Publication Details: Current cardiology reports, Vol.27(1), p.77
DOI: 10.1007/s11886-025-02228-5
PMID: 40163218
NLM abbreviation: Curr Cardiol Rep
ISSN: 1523-3782
eISSN: 1534-3170
Publisher: Springer Nature
Number of pages: 9
Grant note: Carolinas Consortium
Language: English
Date published: 03/31/2025
Academic Unit: Internal Medicine
Record Identifier: 9985221142602771

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