{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T16:04:13Z","timestamp":1787501053831,"version":"build-2736575974"},"reference-count":24,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,6,15]],"date-time":"2023-06-15T00:00:00Z","timestamp":1686787200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Arrhythmia"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The upper extremity siding cardiac implantable electrical device tends to have a limited range of motion during the perioperative period; however, the underlying reason lacks scientific evidence. This study aimed to investigate the safety of the two methods (stepwise or early) of postoperative early upper extremity rehabilitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively investigated 650 consecutive patients with a new implantable pacemaker (PM), implantable cardioverter\u2010defibrillator (ICD), cardiac resynchronization therapy (CRT), or generator exchange between March 2017 and December 2020.<\/jats:p>\n                    <jats:p>The limitation program was conducted from March 2017 to March 2018. The intervention program started as a stepwise protocol in April 2018 and was switched to an early protocol in December 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      This study analyzed 591 patients, excluding 59 who met the exclusion criteria. The mean age was 76.0 (69.0\u201382.0) years; 412 (69.7%) patients had a PM, 79 (13.4%) had an ICD, and 100 (16.9%) utilized CRT. There were 155 patients in the limitation protocol, 251 in the stepwise protocol, and 185 patients in the early protocol groups. Postoperative complications occurred in 53 (9.0%) patients. There was no significant difference in the incidence of all complications between the three groups (16 patients [10.3%] vs. 26 patients [10.4%] vs. 11 patients [5.9%]). Shoulder exercise\u2010related complications were defined as hematoma (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.94), lead dislodgement (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.16), and increased pacing threshold (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.23). General complications included wound infection (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.51), pneumothorax (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.27), tamponade (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.07), and deep venous thrombosis (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.26).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Raising of the upper extremity siding cardiac implantable electrical devices above the head did not compromise postoperative safety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/joa3.12884","type":"journal-article","created":{"date-parts":[[2023,6,16]],"date-time":"2023-06-16T01:01:06Z","timestamp":1686877266000},"page":"586-595","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Impact of raising the upper extremity siding cardiac implantable electrical devices on postoperative safety"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6424-1469","authenticated-orcid":false,"given":"Tomonori","family":"Takeda","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Saitama Medical University International Medical Center  Saitama Japan"},{"name":"Graduate School of Niigata University of Health and Welfare  Niigata Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsuhiro","family":"Tsubaki","sequence":"additional","affiliation":[{"name":"Graduate School of Niigata University of Health and Welfare  Niigata Japan"},{"name":"Institute for Human Movement and Medical Sciences Niigata University of Health and Welfare  Niigata Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshifumi","family":"Ikeda","sequence":"additional","affiliation":[{"name":"Department of Cardiology Saitama Medical University International Medical Center  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9989-8708","authenticated-orcid":false,"given":"Ritsushi","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Cardiology Saitama Medical University International Medical Center  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sho","family":"Kojima","sequence":"additional","affiliation":[{"name":"Graduate School of Niigata University of Health and Welfare  Niigata Japan"},{"name":"Department of Rehabilitation Kisen hospital  Tokyo 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