Roseboom Eva, Daniëls Fenna, Rienstra Michiel, Maass Alexander H
Department of Cardiology, University Medical Center Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.
Department of Cardiology, Isala Hospital, 8025 AB Zwolle, The Netherlands.
Diagnostics (Basel). 2024 Dec 6;14(23):2752. doi: 10.3390/diagnostics14232752.
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.
心脏植入式电子设备（CIED），如起搏器和植入式心脏复律除颤器（ICD），在老年人群中的使用越来越广泛。现代CIED会进行日常测量，主要目的是发现电池耗尽或电极功能障碍的早期迹象。阈值、心内信号和起搏阻抗的变化可能由现有病情加重或新出现的临床问题引起。起搏百分比和心率直方图可用于优化起搏器编程，但也可作为心脏健康状况改变的一种衡量指标。已增加了多项测量，如胸阻抗和患者活动情况，以便向从业者通报心力衰竭的恶化情况。此外，对CIED日常测量进行远程监测可能有助于预防临床状况的恶化。在本综述中，我们讨论了CIED算法的证据基础，并建议如何利用标准日常测量来监测CIED患者的心脏和心脏外健康状况。
