John Ochsner Heart and Vascular Institute, Ochsner Medical Center, New Orleans, LA.
Division of Internal Medicine, Ochsner Medical Center, New Orleans, LA.
Curr Probl Cardiol. 2021 May;46(5):100800. doi: 10.1016/j.cpcardiol.2021.100800. Epub 2021 Jan 24.
In the last decade, advances in wireless and sensor technologies, and the implementation of telemedicine, have led to innovative digital health care for cardiac patients. Continuous monitoring of patients' biomedical signals, and acute changes in these signals, may result in timely, accurate diagnoses and implementation of early interventions. In this review, we discuss commonly used wireless and leadless cardiac devices including pulmonary artery pressure sensors, implantable loop recorders, leadless pacemakers and subcutaneous implantable cardioverter-defibrillators. We discuss the concept and function of each device, indications, methods of delivery, potential complications, consideration for implantation, and cost-effectiveness.
在过去的十年中，无线和传感器技术的进步，以及远程医疗的实施，为心脏患者带来了创新的数字医疗保健。对患者生物医学信号的连续监测，以及这些信号的急性变化，可能导致及时、准确的诊断和早期干预的实施。在这篇综述中，我们讨论了常用的无线和无导线心脏设备，包括肺动脉压传感器、植入式循环记录器、无导线起搏器和皮下植入式除颤器。我们讨论了每个设备的概念和功能、适应证、输送方法、潜在并发症、植入考虑因素和成本效益。
