Types of Complications and Associated Factors in Patients Undergoing Permanent Cardiac Pacemaker Implantation: A Systematic Review

Understanding Complications and Risk Factors in Permanent Cardiac Pacemaker Implantation

Permanent cardiac pacemaker (PPM) implantation is a vital procedure for patients suffering from cardiac arrhythmias and conduction disorders, especially those with heart failure. While this intervention has been proven to significantly improve quality of life and extend life expectancy, complications after implantation remain a notable challenge. Researchers from the Faculty of Nursing at Universitas Padjadjaran led by Firman Sugiharto and team, conducted a systematic review to explore the types of complications and factors associated with PPM implantation. By analyzing 15 high-quality studies from trusted databases such as PubMed, Scopus, and CINAHL, the review offers valuable insights into what influences post-implantation outcomes.

The study revealed that complications can arise due to various interrelated factors including patient demographics, pre-existing health conditions, comorbid diseases, procedural details, and the experience of the healthcare professionals involved. Common complications reported were generator erosion, infections around the pacemaker site, pneumothorax, lead displacement, battery depletion, and in rare cases, mortality. These findings highlight the complexity of managing patients undergoing PPM implantation and emphasize the importance of tailored patient assessment and expert procedural execution.

This research aligns closely with Sustainable Development Goal (SDG) 3, which aims to ensure healthy lives and promote well-being for all at all ages.

Full article https://doi.org/10.2147/JMDH.S489600