Дата публикации в реестре: 2025-05-27T14:14:42Z

Аннотация:

General concerns of diagnosis and correction of permanent pacemaker (PM) dysfunctions in patients with bradyarrhythmias are presented, based on the analysis of modern trials. Comorbidities of patients has been shown to contribute to more frequent occurrence of PM system dysfunctions. Moreover, the role of heart function, technical features of the pacemaker implantation procedure for the occurrence of PM system dysfunctions was noted. The most common types of dysfunctions, the main problems of their timely diagnosis, as well as possible methods of prevention of life-threatening conditions arising against the background of failure in the work of the PM are highlighted. Possible methods for the prevention of life-threatening conditions that occur against the background of a failure in the work of the pacemaker are proposed, which should be used when selecting patients for surgical treatment of bradyarrhythmias. It is shown that information about the actual number and causes of dysfunctions of the РМ system remains insufficient. A large number of dysfunctions of implanted pacemakers remain undiagnosed and unregistered, which affects the quality of life, and can also pose a certain threat to the patient. Moreover, due attention is not paid to the features of РМ programming and timely diagnosis of problems in the РМ, which is a key problem in the development of dysfunctions. In this regard, it seems relevant to conduct further research aimed at studying the quality of life of patients with implanted permanent pacemakers in order to clarify additional mechanisms of dysfunction and improve measures to prevent them. © 2022 Bakoulev National Medical Research Center for Cardiovascular Surgery. All rights reserved.

Тип: Article

Источник: Creative Cardiology