Abstract
Objectives. Pediatric patients have pacemakers implanted in cases of congenital or
acquired heart rhythm disturbances. Regular follow-up is needed in order to avoid possible
pacemaker associated complications. The home monitoring programme (HMP) has been
established in Children’s Clinical University Hospital (CCUH) of Latvia in 2010 and since
then every child with a pacemaker, and other implantable cardiac devices is included in the
programme. HMP allows a distant evaluation of different pacemaker parameters, reducing
the number of doctor visits for the patient, and helps to provide early intervention, thereby
avoiding possible complications.
Aim of the study. To assess the most common indications for pacemaker
implantation and pacing modes. To analyze functional heart parameters and pacemaker
durability. To establish the amount of timely interventions performed on due to use of HMP.
Materials and Methods. Retrospective collection of 37 CCUH patient data of a time
period between January 2010 and October 2019 using patient histories, “Andromeda” and
Home monitoring programme databases. Data analysis using computer software Microsoft
Excel 2016 and IBM SPSS Statistics v23
Results. The most common indication for pacemaker implantation was post-surgical
atrioventricular block (50,00%), and the most common pacing mode was DDD (51,50%). Left
ventricular diastolic diameter (LVDD) and fractional shortening (FS%) were in the normal
range for all analyzed patients. The mean pacemaker durability in the analyzed group was
1854 days with a 95% confidence interval ranging from 1561 to 2147 days. 41,18% of all timely
performed interventions on patients were due to usage of Home monitoring programme.
Conclusions. LVDD and FS% being in the normal range for all patients in the study
suggests absence of prominent cardiac dysfunction. The Home monitoring programme is a
useful tool in early detection of pacemaker dysfunction and low residual battery life.
acquired heart rhythm disturbances. Regular follow-up is needed in order to avoid possible
pacemaker associated complications. The home monitoring programme (HMP) has been
established in Children’s Clinical University Hospital (CCUH) of Latvia in 2010 and since
then every child with a pacemaker, and other implantable cardiac devices is included in the
programme. HMP allows a distant evaluation of different pacemaker parameters, reducing
the number of doctor visits for the patient, and helps to provide early intervention, thereby
avoiding possible complications.
Aim of the study. To assess the most common indications for pacemaker
implantation and pacing modes. To analyze functional heart parameters and pacemaker
durability. To establish the amount of timely interventions performed on due to use of HMP.
Materials and Methods. Retrospective collection of 37 CCUH patient data of a time
period between January 2010 and October 2019 using patient histories, “Andromeda” and
Home monitoring programme databases. Data analysis using computer software Microsoft
Excel 2016 and IBM SPSS Statistics v23
Results. The most common indication for pacemaker implantation was post-surgical
atrioventricular block (50,00%), and the most common pacing mode was DDD (51,50%). Left
ventricular diastolic diameter (LVDD) and fractional shortening (FS%) were in the normal
range for all analyzed patients. The mean pacemaker durability in the analyzed group was
1854 days with a 95% confidence interval ranging from 1561 to 2147 days. 41,18% of all timely
performed interventions on patients were due to usage of Home monitoring programme.
Conclusions. LVDD and FS% being in the normal range for all patients in the study
suggests absence of prominent cardiac dysfunction. The Home monitoring programme is a
useful tool in early detection of pacemaker dysfunction and low residual battery life.
| Original language | English |
|---|---|
| Pages | 247 |
| Number of pages | 1 |
| Publication status | Published - 27 Mar 2020 |
| Externally published | Yes |
| Event | 6th RSU International Student Conference 2020: Health and Social Sciences - Rīga Stradiņš University, Rīga, Latvia Duration: 27 Mar 2020 → 28 Mar 2020 Conference number: 6 https://drive.google.com/file/d/1T4P2qTeS9Q-FpWavIifEb_v6Hu9RI8rH/view https://isc.rsu.lv/about/past-conferences/ |
Conference
| Conference | 6th RSU International Student Conference 2020 |
|---|---|
| Abbreviated title | ISC 2020 |
| Country/Territory | Latvia |
| City | Rīga |
| Period | 27/03/20 → 28/03/20 |
| Internet address |
Field of Science*
- 3.2 Clinical medicine
Publication Type*
- 3.4. Other publications in conference proceedings (including local)