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Tag Archives: permanent pacemaker

A survey of post-cardiac rhythm device implantation: movement and mobilisation advice in the UK

January 2019 Br J Cardiol 2019;26:14–8 doi:10.5837/bjc.2019.002 Online First

A survey of post-cardiac rhythm device implantation: movement and mobilisation advice in the UK

George Collins, Sarah Hamill, Catherine Laventure, Stuart Newell, Brian Gordon

Abstract

Introduction The number of patients receiving cardiac rhythm devices (CRDs) in the UK continues to grow.1 After device implantation, to reduce the probability of lead displacement and, therefore, re-intervention, patients are often advised to limit certain arm movements and physical activities for a defined period of time.2 Sources of this post-procedure movement and mobilisation advice include manufacturers’ guidelines, national information leaflets and local implanting centre policy. However, there is no consensus guidance on what the advice should be, and no published evidence to show that post-implant movement restrictions reduce compl

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A challenging case of collapse with tri-fascicular block: from permanent pacemaker to thrombolysis

March 2016 Br J Cardiol 2016;23:39 doi:10.5837/bjc.2016.012

A challenging case of collapse with tri-fascicular block: from permanent pacemaker to thrombolysis

Luciano Candilio, Kavitha Aggarwal, Alexander W Chen, Nandkumar Gandhi, Shrilla Banerjee 

Abstract

Figure 1. A. Pre-thrombolysis transthoracic echocardiogram. Technically difficult study: large mobile thrombus extending from the tricuspid valve into the right ventricle; dilated right heart chambers (with impaired right ventricular function). B. Pre-thrombolysis transthoracic echocardiogram: in addition to the findings described in panel A, colour flow shows a jet of severe tricuspid valve regurgitation. C. Post-thrombolysis transthoracic echocardiogram: complete dissolution of the right heart thrombus (with improved right ventricular function). D. Postthrombolysis transthoracic echocardiogram: colour flow shows mild regurgitation only A 90

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Cyanoacrylate topical tissue adhesive for closure of permanent pacemaker wounds

July 2014 Br J Cardiol 2014;21:115 doi:10.5837/bjc.2014.024

Cyanoacrylate topical tissue adhesive for closure of permanent pacemaker wounds

Timothy Watson, Vikrant Nayar, Rachana Prasad, Andrew Ladwiniec, Isma Rafiq, Richard Price, Mark R D Belham, Peter J Pugh

Abstract

Introduction Closure of the skin layers following pacemaker implantation is usually achieved with absorbable sutures. This can be time-consuming and does not always achieve perfect cosmetic results. Cyanoacrylate topical tissue adhesive has been used as an alternative but only limited data exist advocating routine use for pacing.1,2 We undertook a prospective randomised study to compare cosmetic outcomes with cyanoacrylate and absorbable sutures for this indication. Methods Consecutive patients aged ≥18 years requiring elective first pacemaker implant were recruited. Exclusion criteria were presence of dermatological disease, impaired wound

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