Open AccessHow to diagnose and manage patients with cardiac implantable electronic device infections
Author(s) -
Tarakji Khaldoun G.,
Wilkoff Bruce L.
Publication year - 2013
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1016/j.joa.2013.06.001
Subject(s) - medicine , intensive care medicine , implantable cardioverter defibrillator , cardiac resynchronization therapy , medical emergency , heart failure , ejection fraction
Over the last two decades, there has been a surge in the number of Cardiac Implantable Electronic Device (CIED) implantation. These devices improve the quality of life and survival among certain cardiac patients. However, this benefit might be affected by device complications and one of the most important ones is CIED infection as it carries significant morbidity and mortality. CIED infection can present as a device pocket infection or endovascular infection and its diagnosis could be challenging. In general, management of CIED infection involves device removal and antibiotic therapy and requires collaboration between different clinical teams. Future efforts and research should focus on measures to prevent the occurrence of this outcome.