{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T07:48:57Z","timestamp":1790668137383,"version":"4.1.0"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Cardiac implantable electronic devices (CIED) are becoming more common for the management of underlying of cardiac dysrhythmias, and more patients with these devices are presenting for cardiac and noncardiac procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We performed a retrospective, cohort, single-center study at a tertiary teaching medical center, gathering 151 patients with CIED undergoing elective and emergent surgeries for the time period between November 2013 and December 2016. We aimed to determine whether patients with CIED had the device interrogated before surgery as recommended by the Heart Rhythm Society (HRS)\/American Society of Anesthesiologists (ASA) consensus, whether this lack of compliance led to delay in the holding area before surgery and determine the presence of intra- or postoperative cardiac events in these patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 76% of patients had interrogation of the device before surgery.\n                      <jats:italic toggle=\"yes\">Emergent<\/jats:italic>\n                      cases were not interrogated as much as elective cases preoperatively (43% vs. 18%, respectively;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). In total, 6% of cases had a CIED-related average holding area delay time of 54 minutes. Patients without preoperative device interrogation had more perioperative cardiac events than those who had the device checked (25% vs. 8%, respectively; odds ratio [OR] 0.26; 95% CI, 0.09\u20130.7,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.013).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Our findings suggest that preoperative interrogation of the device plays a significant role to minimize the incidence of perioperative cardiac adverse events. Institutional providers show a lack of compliance with HRS\/ASA recommendations for preoperative CIED management. Further research is required to determine if improved compliance to recommendations will lead to enhanced outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aca.aca_32_20","type":"journal-article","created":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T06:13:05Z","timestamp":1680243185000},"page":"447-451","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Analyzing the Impact of Preoperative Interrogation of Cardiac Implantable Electronic Devices"],"prefix":"10.4103","volume":"24","author":[{"given":"Jose R","family":"Navas-Blanco","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derrick V","family":"Williams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raj K","family":"Modak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-4-20240901","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/j.anclin.2015.10.014","article-title":"Implantable devices: Assessment and perioperative management","volume":"34","author":"Costa","year":"2016","journal-title":"Anesthesiol Clin"},{"key":"R2-4-20240901","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1007\/s11606-007-0392-0","article-title":"Cardiac device implantation in the United States from 1997 through 2004: A population-based analysis","volume":"23","author":"Zhan","year":"2008","journal-title":"J Gen Intern Med"},{"key":"R3-4-20240901","doi-asserted-by":"crossref","first-page":"990","DOI":"10.1097\/ALN.0000000000000839","article-title":"Creating an anesthesiologist-run pacemaker and defibrillator service: Closing the perioperative care gap for these 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Analg"},{"key":"R7-4-20240901","doi-asserted-by":"crossref","first-page":"1114","DOI":"10.1016\/j.hrthm.2010.12.023","article-title":"The Heart Rhythm Society (HRS)\/American Society of Anesthesiologists (ASA) Expert Consensus Statement on the perioperative management of patients with implantable defibrillators, pacemakers and arrhythmia monitors: Facilities and patient management this document was developed as a joint project with the American Society of Anesthesiologists (ASA), and in collaboration with the American Heart Association (AHA), and the Society of Thoracic Surgeons (STS)","volume":"8","author":"Crossley","year":"2011","journal-title":"Heart Rhythm"},{"key":"R8-4-20240901","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1016\/j.hrthm.2008.04.013","article-title":"HRS\/EHRA expert consensus on the monitoring of cardiovascular implantable electronic devices (CIEDs): Description of techniques, indications, personnel, frequency and ethical considerations","volume":"5","author":"Wilkoff","year":"2008","journal-title":"Heart Rhythm"},{"key":"R9-4-20240901","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1213\/ANE.0b013e31829799f3","article-title":"Perioperative management of pacemakers and implantable cardioverter defibrillators: It's not just about the magnet","volume":"117","author":"Rooke","year":"2013","journal-title":"Anesth Analg"},{"key":"R10-4-20240901","doi-asserted-by":"crossref","first-page":"736","DOI":"10.4103\/ija.IJA_346_17","article-title":"Anaesthetic consideration in patients with cardiac implantable electronic devices scheduled for surgery","volume":"61","author":"Chakravarthy","year":"2017","journal-title":"Indian J Anaesth"},{"key":"R11-4-20240901","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.jacc.2008.02.032","article-title":"ACC\/AHA\/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities: A report of the American College of Cardiology\/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the ACC\/AHA\/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices) developed in collaboration with the American Association for Thoracic Surgery and Society of Thoracic Surgeons","volume":"51","author":"Epstein","year":"2008","journal-title":"J Am Coll Cardiol"},{"key":"R14-4-20240901","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1007\/s12630-012-9678-8","article-title":"Society position statement: Canadian Cardiovascular Society\/Canadian Anesthesiologists\u2019 Society\/Canadian Heart Rhythm Society joint position statement on the perioperative management of patients with implanted pacemakers, defibrillators, and neurostimulating devices","volume":"59","author":"Healey","year":"2012","journal-title":"Can J Anaesth"},{"key":"R15-4-20240901","doi-asserted-by":"crossref","first-page":"538","DOI":"10.11622\/smedj.2015148","article-title":"A practical 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