Cardiovascular implantable electronic device selection based on clinical characteristics- “All devices are not the same”

Author(s): Atul Prakash, Richard Sutton

This review is based on the premise that all available Cardiovascular Implantable Electronic Devices (CIEDs) are not the same and the selection of one over another should be based on clinical findings and requirements with particular reference to patient characteristics. Currently, the selection is driven primarily by cost and an assumption that all devices are the same. The clinical profile of the patient, and the different algorithms and technology, are disregarded. Continuation of this mode of selection will significantly impede further development of these sophisticated algorithms depriving patients of their true clinical benefit. The last five decades have seen tremendous progress in the evolution of cardiovascular implantable electronic devices.