Daily Measurements from Cardiac Implantable Electronic Devices to Assess Health Status

Cardiac implantable electronic devices (CIEDs) such as pacemakers and implantable cardioverter-defibrillators (ICDs) are increasingly used in the aging population. Modern CIEDs perform daily measurements, mainly aimed at discovering early signs of battery depletion or electrode dysfunction. Changes...

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Main Authors: Eva Roseboom, Fenna Daniëls, Michiel Rienstra, Alexander H. Maass
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/14/23/2752
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author Eva Roseboom
Fenna Daniëls
Michiel Rienstra
Alexander H. Maass
author_facet Eva Roseboom
Fenna Daniëls
Michiel Rienstra
Alexander H. Maass
author_sort Eva Roseboom
collection DOAJ
description Cardiac implantable electronic devices (CIEDs) such as pacemakers and implantable cardioverter-defibrillators (ICDs) are increasingly used in the aging population. Modern CIEDs perform daily measurements, mainly aimed at discovering early signs of battery depletion or electrode dysfunction. Changes in thresholds, intracardiac signals, and pacing impedances can be caused by exacerbation of existing conditions or novel clinical problems. Pacing percentages and heart rate histograms can be used to optimize pacemaker programming, but can also be a measure of altered cardiac health status. Several measurements, such as thoracic impedance and patient activity, have been added to inform practitioners about worsening heart failure. In addition, remote monitoring of daily CIED measurements may accommodate for the prevention of the deterioration of clinical conditions. In this review, we discuss the evidence base of CIED algorithms and suggest how to use standard daily measurements to monitor the cardiac and extracardiac health status of patients with CIEDs.
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spelling doaj-art-dfcd417d1d2442d4842fb034e168c6552025-08-20T02:38:43ZengMDPI AGDiagnostics2075-44182024-12-011423275210.3390/diagnostics14232752Daily Measurements from Cardiac Implantable Electronic Devices to Assess Health StatusEva Roseboom0Fenna Daniëls1Michiel Rienstra2Alexander H. Maass3Department of Cardiology, University Medical Center Groningen, University of Groningen, 9713 GZ Groningen, The NetherlandsDepartment of Cardiology, University Medical Center Groningen, University of Groningen, 9713 GZ Groningen, The NetherlandsDepartment of Cardiology, University Medical Center Groningen, University of Groningen, 9713 GZ Groningen, The NetherlandsDepartment of Cardiology, University Medical Center Groningen, University of Groningen, 9713 GZ Groningen, The NetherlandsCardiac implantable electronic devices (CIEDs) such as pacemakers and implantable cardioverter-defibrillators (ICDs) are increasingly used in the aging population. Modern CIEDs perform daily measurements, mainly aimed at discovering early signs of battery depletion or electrode dysfunction. Changes in thresholds, intracardiac signals, and pacing impedances can be caused by exacerbation of existing conditions or novel clinical problems. Pacing percentages and heart rate histograms can be used to optimize pacemaker programming, but can also be a measure of altered cardiac health status. Several measurements, such as thoracic impedance and patient activity, have been added to inform practitioners about worsening heart failure. In addition, remote monitoring of daily CIED measurements may accommodate for the prevention of the deterioration of clinical conditions. In this review, we discuss the evidence base of CIED algorithms and suggest how to use standard daily measurements to monitor the cardiac and extracardiac health status of patients with CIEDs.https://www.mdpi.com/2075-4418/14/23/2752pacemakerimplantable cardioverter-defibrillatorpacing thresholdintracardiac signalimpedanceheart failure
spellingShingle Eva Roseboom
Fenna Daniëls
Michiel Rienstra
Alexander H. Maass
Daily Measurements from Cardiac Implantable Electronic Devices to Assess Health Status
Diagnostics
pacemaker
implantable cardioverter-defibrillator
pacing threshold
intracardiac signal
impedance
heart failure
title Daily Measurements from Cardiac Implantable Electronic Devices to Assess Health Status
title_full Daily Measurements from Cardiac Implantable Electronic Devices to Assess Health Status
title_fullStr Daily Measurements from Cardiac Implantable Electronic Devices to Assess Health Status
title_full_unstemmed Daily Measurements from Cardiac Implantable Electronic Devices to Assess Health Status
title_short Daily Measurements from Cardiac Implantable Electronic Devices to Assess Health Status
title_sort daily measurements from cardiac implantable electronic devices to assess health status
topic pacemaker
implantable cardioverter-defibrillator
pacing threshold
intracardiac signal
impedance
heart failure
url https://www.mdpi.com/2075-4418/14/23/2752
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