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Implanted pacemaker or automated implanted cardiac defibrillator (AICD).
BACKGROUND: The development of laser-assisted extraction techniques for chronically implanted pacemaker and defibrillator leads has reduced the need for open surgical removal.
Invalid signal information was considered when (i) significant part of the signal was missing in the segments of interest; (ii) signals had high level of noise; (iii) patients had implanted pacemaker; (iv) patients suffered from cardiac conditions affecting normal physiological response in signals of interests (i.e., arrhythmia or tachycardia).
In the PLEXES trial, the efficacy and safety of laser sheaths were tested against conventional lead extraction methods in 301 patients with 465 chronically implanted pacemaker leads [ 2].
In contrast, the stimulation protocol utilizing implanted pacemaker leads to verify the accuracy of the NEEES permitted only a limited number of pacing locations to be selected in each patient.
Exclusion criteria consisted of atrial fibrillation or flutter, implanted pacemaker, severe mitral stenosis or regurgitation, severe pulmonary hypertension (mean pulmonary artery pressure ≥45 mmHg), moderate-to-severe valvular aortic insufficiency and preoperative inotropic or ventilatory support.
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Both were part of a study with Dr. Lameh Fananpazir, a cardiac surgeon who implanted pacemakers in 68 children between 1992 and 1996.
The devices are the flagship product of cardiac rhythm management, a field that includes implanted pacemakers, which Medtronic introduced in the 1960s.
That said, few think twice now about surgically implanted pacemakers or hearing aids, say, so maybe time will overcome the initial ick factor.
Fortunately, many myopathies are treatable (with medication, implanted pacemakers, defibrillators, or ventricular assist devices) given early detection.
Reuters declared the systems can "make implanted pacemakers and defibrillators go haywire, with sometimes fatal results" — and later issued a correction saying there was no evidence of deaths.
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CEO of Professional Science Editing for Scientists @ prosciediting.com