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New Wireless Pacemaker helps Heart Patients
stay in touch
Newswise — Doctors at Wake Forest University
Baptist Medical Center’s Heart Center have
implanted one of the first wireless
pacemakers in the country and the first in
the Triad.
Electrophysiologist Rick Henderson, M.D.,
said these new wireless pacemakers transmit
additional information about the patient’s
heart with greater frequency.
This
gives patients the advantage of fewer office
visits – often a problem with heart patients
living in rural areas – and quicker response
to problems.
“The new device gives us information every
day,” Henderson said. “It has the ability to
detect changes that are programmed into the
device so we can react quickly. It can
report 24 hours a day, even when the patient
is sleeping.”
All pacemakers have some type of
transtelephonic monitoring system that can
send data over a telephone line if needed,
Henderson said.
Patients with pacemakers come into the Heart
Center’s device clinic to have their device
‘interrogated.’
This means checking the pacemaker for
recorded arrhythmia or looking for problems
with the device itself, such as a weak
battery.
“With the wireless device, we can monitor
the patient on a daily basis. The device is
set to report back to us any abnormalities
such as atrial fibrillation,” Henderson
said.
“For example, if a patient is having regular
heart rhythm, but is having atrial
fibrillation every now and then, the device
will pick it up sooner and send the
information through a transmitter to the
device clinic.”
Wireless pacemakers are ideal for patients
in remote areas who may have prolonged drive
times for clinic visits.
Where a patient lives and how far they are
from medical centers will be a factor in who
receives the device.
The three models of the wireless pacemaker,
made by St. Jude Medical, include a
single-chamber version that goes into the
right ventricle, a double-chamber version
that goes into the right ventricle and
atria, and a third version for heart failure
patients that goes into the right ventricle,
the left ventricle and the artery.
Wireless devices will be used more
frequently in the future, Henderson said, as
well as leadless devices in which the
pacemaker does not have to enter the
vascular system.
Another future possibility is that wireless
devices could be used to monitor blood
pressure.
About 40 percent of the outpatient work done
by electrophysiologists involves first-time
implants. About 60 percent are generator
changes on existing pacemakers.
It is estimated that more than three
million people in the world have pacemakers
with about 600,000 more implanted each year.
Henderson is part of a team of
electrophysiologists at Wake Forest Baptist
that includes David M. Fitzgerald, M.D.,
section head, Bryon E. Rubery, M.D., Tony W.
Simmons, M.D., and Thomas Wannenburg, M.D.
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