Research has found that up to 1 in 20 patients with an implantable heart electronic device (CIED), such as a pacemaker or an implantable defibrillator, develop an infection within three years of implantation. However, despite evidence-based guidelines, many patients with CIED do not receive the latest evidence-based care. A new report from the American Heart Association’s National Infection Initiative CIED aims to change that.
The report is the outcome of a summit meeting of opinion leaders, stakeholders and medical associations, patient groups and others involved in the care system convened by the American Heart Association, a global force for a healthier life for all, as part of a larger initiative. The summit, held in March, aimed to identify barriers, opportunities and recommendations to support improved awareness, detection and management of CIED infections.
Although timely device removal is the most appropriate treatment option for patients who develop a CIED infection, many do not receive the procedure, according to the previous study In the Journal of the American Heart Association Circulation: arrhythmia and electrophysiology.
“CIED infections, although not frequent, are not rare either, and recent research shows that only 1 in 5 patients with CIED infection have their entire organ removed,” said Dr. Bruce Wilkoff, MD, director of the American Heart Association’s CIED Infection. Summit Planning Group and Director of Pacemakers and Arrhythmias at Cleveland Clinic. “The cost is the pain, the hospitalization, the surgery, and if not properly recognized and treated. Despite that Effective treatments available, many of these infections go undetected or treated according to guidelines.”
The ideas and statements presented at the summit identified a clear problem. The resulting call to action is multi-layered and dependent on it Healthcare professionals Assessing how patients with CIED infection are treated, driving adherence to guidelines, and informing gaps in care. Patients are called to advocate for their health. Stakeholders have identified an initial roadmap to drive the change identified in action items organized according to three categories:
- Prevention, detection and diagnosis: identifying the most serious problems around Clinical settingsConnecting the dots for clinicians, including the role of informatics.
- Improving the treatment and management of CIED infections: recommendations for strengthening systems of care.
- Awareness and education: examples of professional consumer and healthcare initiatives in other diseases.
Summit Infection: Filling the Gaps in Awareness, Detection, and Appropriate Treatment of CIED Infection. www.heart.org/-/media/Files/Pr… IED_Report_FINAL.pdf
American Heart Association
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