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Current Cardiology Reports

Leadless Pacemakers: The “Leading Edge” of Quality of Life in Cardiac Electrophysiology

  • Open Access
  • 01-12-2025
  • Pacemaker
  • Psychological Aspects of Cardiovascular Diseases (IM Kronish, Section Editor)
Published in:
Authors
Samuel F. Sears
Elizabeth W. Jordan
Zeba Hashmath
Maeve M. Sargeant
John Catanzaro
Rajasekhar Nekkanti
Ghanshyam Shantha
Published in
Current Cardiology Reports | Issue 1/2025

Abstract

Purpose of the Review

Permanent pacemakers (PPMs) are common cardiac implantable devices indicated for patients with bradycardia or tachycardia. Currently, PPMs include both transvenous pacemakers (TV-PM) and leadless pacemakers (L-PM). This paper reviews the existing data on L-PM technology including: a) medical aspects and indications, b) patient experience and quality of life (QOL) outcome studies, and c) recommendations for optimizing patient QOL through enhanced knowledge and shared decision-making.

Recent Findings

This review includes the seven papers that report on patient-reported outcomes (PRO) in leadless pacemakers and indicate that QOL is as good, if not better, than TV-PM. Existing evidence from descriptive statistics suggests that patients with L-PM report high levels of patient acceptance and satisfaction with esthetic appearance (96%), recovery (91%), and level of physical activity (74%).

Summary

Leadless pacemakers provide an attractive alternative for the indicated potential patient. The evidence demonstrates the benefits of L-PM such as a minimal implant and lack of leads. Recommendations for future research indicate that electrophysiology-specific metrics are essential and control for the common co-morbidities in the PM population are needed.
Title
Leadless Pacemakers: The “Leading Edge” of Quality of Life in Cardiac Electrophysiology
Authors
Samuel F. Sears
Elizabeth W. Jordan
Zeba Hashmath
Maeve M. Sargeant
John Catanzaro
Rajasekhar Nekkanti
Ghanshyam Shantha
Publication date
01-12-2025
Publisher
Springer US
Published in
Current Cardiology Reports / Issue 1/2025
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-025-02228-5
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This content is intended for healthcare professionals outside of the UK.

Independent Medical Education Grant:
  • Bayer HealthCare Pharmaceuticals Inc.
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Abstract graphic of layered, concentric circular shapes in bright green, pink, blue, and purple on a dark blue background. The rings and segments form a complex radial pattern without text/© Springer Health+ IME