Predictors of shoulder limitations and disability in patients with cardiac implantable electronic devices: Importance of device size

被引:9
作者
Cosgun, Muharrem Said [1 ]
Cosgun, Cansu [2 ]
机构
[1] Erzincan Binali Yildirim Univ, Mengucek Gazi Educ & Res Hosp, Med Fac, Dept Cardiol, Erzincan, Turkey
[2] Erzincan Binali Yildirim Univ, Mengucek Gazi Educ & Res Hosp, Med Fac, Dept Phys Therapy & Rehabil, Erzincan, Turkey
来源
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 2021年 / 44卷 / 12期
关键词
cardiac implantable electronic device; defibrillator; device size; pacemaker; shoulder disabilities; CARDIOVERTER-DEFIBRILLATOR; ESC GUIDELINES; COMPLICATIONS; MANAGEMENT; QUICKDASH; PACEMAKER; MOTION;
D O I
10.1111/pace.14378
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background Generator-induced shoulder impairment is a common complication of cardiac implantable electronic device (CIED) implantation. Although implantable cardioverter-defibrillators (ICDs) have become smaller in size, they are still bigger than pacemakers (PMs). This study aimed to investigate the effects of single-chamber PM and ICD sizes on shoulder function. Methods This retrospective study included 200 consecutive patients, of whom 123 had PMs and 77 had ICDs. The CIED implantation effects on shoulder function, pain, disability, and quality of life (QoL) were evaluated. The range of motion (ROM), Visual Analog Scale (VAS), Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH), and Short Form-36 (SF-36) Health Survey (Physical and Mental Component Summary [PCS and MCS]) were used. Results The flexion and abduction range limitation rates were significantly higher in the ICD group than in the PM group (16.9% vs. 7.3%, p = .035 and 19.5% vs. 8.9%, p = .031, respectively). The two groups had similar VAS scores. The median QuickDASH score was significantly higher in the ICD group than in the PM group (8.2 [3.6-19.6] vs. 4.6 [2.6-17.9], p = .034). There were no significant differences in SF-36 components between the two groups. ICD implantation (OR: 1.642, 95% CI: 1.293-2.776; p = .001) and incision length (OR: 1.343, 95% CI: 1.194-2.064; p = .01) were independent predictors of shoulder ROM limitations. Conclusions Reduced device sizes with advancing technology can decrease shoulder functional limitations and disability after implantation. Healthcare professionals should not neglect shoulder evaluations during the pre- and postimplantation periods.
引用
收藏
页码:1979 / 1986
页数:8
相关论文
共 35 条
[1]   A new paradigm for post-cardiac event resistance exercise guidelines [J].
Adams, J ;
Cline, MJ ;
Hubbard, M ;
McCullough, T ;
Hartman, J .
AMERICAN JOURNAL OF CARDIOLOGY, 2006, 97 (02) :281-286
[2]   Wound management and restrictive arm movement following cardiac device implantation - evidence for practice? [J].
Bavnbek, Katrine ;
Ahsan, Syed Y. ;
Sanders, Julie ;
Lee, Simon F. ;
Chow, Anthony W. .
EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING, 2010, 9 (02) :85-91
[3]   Development of the QuickDASH: Comparison of three item-reduction approaches [J].
Beaton, DE ;
Wright, JG ;
Katz, JN .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2005, 87A (05) :1038-1046
[4]  
Biffi M., 2020, EXPERT REV MED DEVIC, V18, P1
[5]  
BLOCK M, 1994, HERZ, V19, P259
[6]   Pacemaker and ICD leads: Strategies for long-term management [J].
Borek, P. Peter ;
Wilkoff, Bruce L. .
JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY, 2008, 23 (01) :59-72
[7]  
Boriani Giuseppe, 2014, Indian Heart J, V66 Suppl 1, pS101, DOI 10.1016/j.ihj.2013.12.034
[8]   Frozen shoulder syndrome associated with subpectoral defibrillator implantation [J].
Burke, MC ;
Drinan, K ;
Kopp, DE ;
Kall, JG ;
Verdino, RJ ;
Paydak, H ;
Wilber, DJ .
JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY, 1999, 3 (03) :253-256
[9]   Preventing Shoulder Pain after Cardiac Rhythm Management Device Implantation: A Randomized, Controlled Study [J].
Daniels, James D. ;
Sun, Shining ;
Zafereo, Jason ;
Minhajuddin, Abu ;
Carol Nguyen ;
Obel, Owen ;
Wu, Richard ;
Joglar, Jose A. .
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 2011, 34 (06) :672-678
[10]   Implantation of cardioverter-defibrillator: Effects on shoulder function [J].
Diemberger, Igor ;
Pegreffi, Francesco ;
Mazzotti, Andrea ;
Foschi, Elia ;
Martignani, Cristian ;
Belli, Guido ;
Biffi, Mauro ;
Ziacchi, Matteo ;
Branzi, Angelo ;
Grigioni, Francesco ;
Latessa, Pasqualino Maietta ;
Porcellini, Giuseppe ;
Tentoni, Claudio ;
Boriani, Giuseppe .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2013, 168 (01) :294-299