title: Leadless cardiac pacing: What primary care providers and non-EP cardiologists should know.
abstract: Over the last 50 years, the use of transvenous pacemakers has been constrained by long-term complications that affect more than 1 in 10 patients, largely attributable to the endovascular leads and surgical pocket. Leadless cardiac pacing involves a self-contained pacemaker deployed directly into the heart without a lead or incisional access. The procedure has shown promise, eliminating pocket-related complications. Other advantages include postprocedural shoulder mobility and the ability to drive, shower, and bathe. Current devices are limited to single-chamber ventricular pacing. Future advances may allow atrial and dual-chamber pacing and combination with a subcutaneous defibrillator to deliver antitachycardia pacing and provide bradycardia backup.
authors.affiliation: Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA.
authors.forename: Erich L
authors.initials: EL
authors.lastname: Kiehl
authors.affiliation: Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA. cantild@ccf.org.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Cantillon
mesh_terms: D002304:Cardiac Pacing, Artificial; D002309:Cardiology; D004867:Equipment Design; D006801:Humans; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D011183:Postoperative Complications / Q000453:epidemiology*; D011320:Primary Health Care