Evidence map›Paper›PMID 39436461›Full record

ArticleJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2025

Outcomes of leadless pacemaker implantation in the United States based on sex.

Muhammad Zia Khan, Bandar Alyami, Waleed Alruwaili, Amanda T Nguyen, Melody Mendez, William E Leon, Justin Devera, Hafiz Muhammad Sohaib Hayat, Abdullah Naveed, Zain Ul Abideen Asad and 4 more

Abstract read
In one paragraph

Article in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Sex-specific short- and long-term outcomes in patients with leadless cardiac pacemakers.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Observational
  3. Cardioembolic stroke in cardiac amyloidosis is a formidable challenge.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Muhammad Zia KhanDivision of Cardiology, West Virginia University Heart and Vascular Institute, Morgantown, WV, USA.
Bandar AlyamiDivision of Cardiology, West Virginia University Heart and Vascular Institute, Morgantown, WV, USA.
Waleed AlruwailiDivision of Cardiology, West Virginia University Heart and Vascular Institute, Morgantown, WV, USA.
Amanda T NguyenDivision of Cardiology, University of California Davis, Sacramento, CA, USA.
Melody MendezDivision of Cardiology, University of California Davis, Sacramento, CA, USA.
William E LeonDivision of Cardiology, University of California Davis, Sacramento, CA, USA.
Justin DeveraDivision of Cardiology, University of California Davis, Sacramento, CA, USA.
Hafiz Muhammad Sohaib HayatDivision of Cardiology, University of California Davis, Sacramento, CA, USA.
Abdullah NaveedDepartment of Medicine, Dow Medical College, Karachi, Sindh, Pakistan.
Zain Ul Abideen AsadDivision of Cardiology, University of Oklahoma, Oklahoma City, OK, USA.
Siddharth AgarwalDivision of Cardiology, University of Oklahoma, Oklahoma City, OK, USA.
Sudarshan BallaDivision of Cardiology, West Virginia University Heart and Vascular Institute, Morgantown, WV, USA.
Douglas DardenDivision of Cardiology, Kansas City Heart Rhythm Institute, Overland Park, KS, USA.
Muhammad Bilal MunirSection of Electrophysiology, Division of Cardiology, University of California Davis, Sacramento, CA, USA. mbmunir@ucdavis.edu.ORCID http://orcid.org/0000-0002-9804-898X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo determine differences in baseline characteristics and outcomes of leadless pacemaker implantation based on sex.

methodsFor the purpose of this study, data were extracted from the National Inpatient Sample database for years 2016-2020. The study group was then stratified based on sex. Baseline characteristics and in-hospital outcomes including complications were then analyzed in each group. Multivariable logistic regression models were created to analyze the association of sex with important outcomes of mortality, major complications (defined as pericardial effusion requiring intervention and any vascular complication), prolonged length of stay (defined as > 6 days), and increased cost of hospitalization (defined as median cost > 34,098$) after leadless pacemaker implantation.

resultsA total of 29,000 leadless pacemakers (n in women = 12,960, 44.7%) were implanted during our study period. Women were found to have an increased burden of co-morbidities as compared to men. In the adjusted analysis, the likelihood of mortality (aOR 1.27, 95% CI 1.14-1.43), major complications (aOR 1.07, 95% CI 0.98-1.18), prolonged length of stay (aOR 1.09, 95% CI 1.04-1.15), and increased hospitalization cost (aOR 1.14, 95% CI 1.08-1.20) were higher in women as compared to men after leadless pacemaker implantation.

conclusionImportant and significant differences exist in leadless pacemaker implantation in women as compared to men. These findings highlight the need for evaluating etiologies behind such differences with a goal of improving outcomes in all patients after leadless pacemaker implantation.

Indexed as

Pacemaker, ArtificialAgedAged, 80 and overFemaleHumansLength of StayMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesSex FactorsTreatment OutcomeUnited StatesComplicationsLeadlessMortalityOutcomesPacemakerWomen

Identifiers

PMID39436461
PMCPMC12317866

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.