Arq. Bras. Cardiol. 2024; 121(4): e20240185
Cost-Effectiveness Related to Implantable Electronic Cardiac Devices: An Ever-Constant Concern
Luiz Eduardo Montenegro Camanho
This Short Editorial is referred by the Research article "Factors Associated with the Treatment Costs within the First Year after Pacemaker Implantation or Pulse Generator Replacement".
Implantable electronic cardiac devices (IECDs) play a crucial role in patients with bradyarrhythmias, with proven effectiveness in improving quality of life and maintaining life itself, and their use in clinical practice is unquestionable. However, the technology used and its possible complications represent a considerable cost to regulatory agencies and the respective paying sources. If, on the one hand, the benefit of IECDs in different clinical scenarios is not questioned, on the other hand, the associated cost, including possible complications, should also be a reason for reflection.
The initial cost related to the procedure is high, as is the cost related to possible complications, such as pneumothorax, hemothorax, electrode disposition, infection, and clinical complications in general.–
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