Prospective evaluation of shoulder-related problems in patients with pectoral cardioverter-defibrillator implantation

American Heart Journal
T KorteB Lüderitz

Abstract

The pectoral approach to implantation of cardioverter defibrillators (ICDs) has become a standard in defibrillator therapy because of reduced generator size, weight, and volume. But the size of these devices is still comparable to the size of the early conventional antibradycardia pacemakers that were associated with a number of significant pocket- and shoulder-related problems after implantation in the pectoral region. In a prospective, single-center study of 50 patients with subpectoral implantation of a fourth-generation ICD, the ipsilateral shoulder joint was evaluated regarding active shoulder motility, shoulder-related pain, shoulder function, shoulder elevation, insertion tendinitis, and morphologic alterations of the shoulder. The shoulder was evaluated before implantation and at 3, 6, and 12 months after implantation. Shoulder motility was documented by evaluating active abduction, forward flexion, and external rotation. Shoulder-related pain and function were documented by the "Basic Shoulder Evaluation Form," insertion tendinitis was diagnosed by standardized palpation and the impingement test, and morphologic alterations were documented by ultrasound and radiograph of the shoulder. Three months after implantation, 2...Continue Reading

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Citations

Nov 28, 2012·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Umut CelikyurtDilek Ural
Jan 26, 2011·Pacing and Clinical Electrophysiology : PACE·James D DanielsJose A Joglar
Oct 11, 2012·International Journal of Cardiology·Igor DiembergerGiuseppe Boriani
Apr 23, 2019·Journal of Arrhythmia·Ersin Çağrı ŞimşekAyhan Aşkin
Jan 6, 2019·Journal of Clinical Medicine·Mª Reyes Carrión-CamachoJosé Rafael González-López
Jul 1, 2020·Pacing and Clinical Electrophysiology : PACE·Mohammad Vahid JoratAmir Aslani
Oct 9, 2021·Pacing and Clinical Electrophysiology : PACE·Muharrem Said Cosgun, Cansu Cosgun

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