Sławiński Grzegorz, Kempa Maciej, Przybylski Andrzej
Department of Cardiology and Electrotherapy, Medical University of Gdańsk, 80-210 Gdańsk, Poland.
Club 30, Polish Cardiac Society, 00-193 Warsaw, Poland.
Rev Cardiovasc Med. 2023 Jun 14;24(6):176. doi: 10.31083/j.rcm2406176. eCollection 2023 Jun.
The importance of cardiac implantable electronic devices (CIEDs) in the treatment of cardiac rhythm disturbances, heart failure, and the prevention of sudden cardiac death is indisputable. However, CIED therapy is associated with complications, among which infections are particularly unfavourable in terms of prognosis. The diagnosis and management of CIED infections remain complex, with a significant impact on mortality and healthcare costs. For these reasons, the risk factors for CIED infections and methods of their prevention have been assessed in recent years. This review summarises the current state of knowledge on the subject. We also outlined the role of alternative methods, such as subcutaneous defibrillators, leadless pacemakers, and wearable cardioverter defibrillators.
心脏植入式电子设备（CIEDs）在治疗心律失常、心力衰竭以及预防心源性猝死方面的重要性是无可争议的。然而，CIED治疗会引发并发症，其中感染在预后方面尤其不利。CIED感染的诊断和管理仍然很复杂，对死亡率和医疗成本有重大影响。出于这些原因，近年来对CIED感染的危险因素及其预防方法进行了评估。本综述总结了该主题的当前知识状态。我们还概述了替代方法的作用，如皮下除颤器、无导线起搏器和可穿戴式心脏复律除颤器。
