Preventing complications in cardiac pacemaker therapy: a lifecycle-based risk management framework
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By
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Yue Li
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Rui Li
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Jun Zhang
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Xin Yang
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Luhui Gan
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Yu Liao
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Hua He
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Lingyun Jiang
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Xin Zhang
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June 1, 2026
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Objective:
To propose a structured lifecycle-based risk management framework for complication prevention in pacemaker therapy.
Key Findings:
- Pacemaker-related complications vary in incidence and impact across different patient populations and procedural settings.
- Complications can arise from procedural factors, lead or device dysfunction, infections, and structural changes in the heart.
- A comprehensive lifecycle-oriented synthesis of pacemaker-related complications is lacking in existing literature.
Interpretation:
The review synthesizes evidence on mechanisms and management strategies for pacemaker-related complications.
Limitations:
- The review focuses specifically on permanent pacemaker therapy and may not fully encompass all cardiac implantable electronic devices.
- Evidence selection was based on clinical relevance, which may introduce bias.
Conclusion:
This review conceptualizes pacemaker complication prevention within a structured lifecycle-based framework.
