A Systematic Review and Meta-analysis of the Prevalence and Risk Factors in Cardiac Implantable Electronic Device Malfunction.

Autor:	Saeed A; Department of Research, Ministry of Health, Abha, Saudi Arabia., AlShafea A; Department of Research, Ministry of Health, Abha, Saudi Arabia., AlQthami M; Department of Cardiology, Ohio Cardiac Center, USA., Saeed AB; Department of Public Health, Ministry of Health, Abha, Saudi Arabia., AlAhmri FA; Department of Public Health, Ministry of Health, Abha, Saudi Arabia., AlQahtani NS; Department of Public Health, Ministry of Health, Abha, Saudi Arabia., Al-Muslat FA; Department of Public Health, Ministry of Health, Abha, Saudi Arabia., AlQahtani A; Department of Radiology, Ministry of Health, Abha, Saudi Arabia.
Jazyk:	angličtina
Zdroj:	Journal of the Saudi Heart Association [J Saudi Heart Assoc] 2023 Nov 24; Vol. 35 (4), pp. 311-334. Date of Electronic Publication: 2023 Nov 24 (Print Publication: 2023).
DOI:	10.37616/2212-5043.1359
Abstrakt:	Introduction: Cardiac implantable electronic devices (CIED) include permanent pacemakers (PPMs), implantable cardioverter defibrillators (ICDs), and cardiac resynchronization therapy (CRT) devices. They treat several cardiac issues and are dependent on batteries; however, similar to any medical equipment, they can fail. The prevalence and risk factors for CIED malfunction must be understood for earlier detection and better patient outcomes. Material and Methods: A comprehensive search was conducted through electronic bibliographic sources (PubMed and Cochrane) until January 2023 in order to identify reviews, cohort studies and case reports pertaining to CIED. The primary outcome is the probability of CIED malfunction. The secondary outcome concerned significant risk factors. Two authors independently extracted articles by utilizing pre-established data fields. Using a random-effects model, the aggregated prevalence and 95 % confidence intervals (CIs) were computed. Results: The meta-analysis comprised eight review articles, twenty-two retrospective studies, and thirty-seven case reports from the systematic review. The eight review articles contained a CIED malfunction of 4.03 % (random-effects model). The pooled prevalence of CIED malfunction in the meta-analysis of 22 retrospective studies was 0.41 percent (using a fixed-effects model) and 8.01 percent (using a random-effects model). Moreover, age, pre-existing cardiac conditions, CIED type, lead placement, and medical device interactions all contributed to an increase in the heterogeneity (I2 = 98.90 %) of the risk of CIED malfunction. Conclusion: CIED malfunction is common and more likely to occur in elderly individuals and in certain types of CIED. Clinicians should focus on risk factors and closely monitor the patients with higher probability for CIED malfunction with short intervals. Competing Interests: Conflicts of interest: The authors declare that they have no conflicts of interest related to this systematic review. There were no financial or non-financial interests that could have influenced the conduct or reporting of this study. (© 2023 Saudi Heart Association.)
Databáze:	MEDLINE
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