Early mobilization after pacemaker implantation

Journal of Cardiovascular Medicine
Gennaro MiracapilloSilva Severi

Abstract

There are no international guidelines indicating how long a patient should stay strictly in bed after pacemaker implantation. In the present study, we tested a new protocol concerning the mobilization of patients 3 h after receiving a single or a dual-chamber pacemaker. Consecutive patients who underwent single or dual-chamber pacemaker implantation were randomized to a 3 or 24 h immobilization protocol. Only bipolar passive fixation leads were computed. After the implant, an elastic bandage was put on the homolateral shoulder of all patients for 24 h. A complete clinical and electronic follow-up was performed before discharge and repeated 2 months later. End-points considered were the displacement of the lead, high pacing thresholds (> 3.5 V/0.4 ms at the discharge or > 2.5 V/0.4 ms at the 2-month follow-up), sensing defects not corrigible by programming and clinical complications of the pocket One hundred and thirty-four patients were included in the study: 57 in group A (mobilization after 3 h) and 77 in group B (24 h). In group A, one haematoma and two displacements occurred in three patients. In group B, we registered one haematoma, one subclavian vein thrombosis, three displacements and three high stimulation thresholds. ...Continue Reading

References

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Citations

Sep 14, 2013·Journal of Clinical Nursing·Beatrice J KalischBeverly W Dabney
Dec 2, 2014·Revista Española De Cardiología·Tomás DatinoFrancisco Fernández-Avilés
Jan 16, 2010·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Katrine BavnbekAnthony W Chow
Dec 13, 2012·Journal of Nursing Care Quality·Beatrice J KalischSoohee Lee
Apr 23, 2019·Journal of Arrhythmia·Ersin Çağrı ŞimşekAyhan Aşkin
Jun 4, 2020·Arquivos brasileiros de cardiologia·Tales de CarvalhoSalvador Manoel Serra
Oct 9, 2021·Pacing and Clinical Electrophysiology : PACE·Muharrem Said Cosgun, Cansu Cosgun

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