TY - JOUR T1 - Leadless cardiac pacing: What primary care providers and non-EP cardiologists should know JF - Cleveland Clinic Journal of Medicine JO - Cleve Clin J Med SP - S24 LP - S34 DO - 10.3949/ccjm.83.s2.04 VL - 83 IS - 11 suppl 2 AU - Erich L. Kiehl AU - Daniel J. Cantillon Y1 - 2016/11/01 UR - http://www.ccjm.org/content/83/11_suppl_2/S24.abstract N2 - Over the last 50 years, the use of transvenous pacemakers has been constrained by long-term complications that affect more than 1 in 10 patients, largely attributable to the endovascular leads and surgical pocket. Leadless cardiac pacing involves a self-contained pacemaker deployed directly into the heart without a lead or incisional access. The procedure has shown promise, eliminating pocket-related complications. Other advantages include postprocedural shoulder mobility and the ability to drive, shower, and bathe. Current devices are limited to single-chamber ventricular pacing. Future advances may allow atrial and dual-chamber pacing and combination with a subcutaneous defibrillator to deliver antitachycardia pacing and provide bradycardia backup. ER -