Jacqueline, J., Francois, P., S, C.D., Jaimie, M., Blandine, M., M, S.M., D, R.J., Christian, S., Ratika, P., T, B.M., Isabelle, G., M, H.N., Felix, A.P., Vidal, E., Clarence, K., Katherine, K., Evan, L., Andrew, M., A, M.C., . . . G, A.J. (2026). Current Challenges in Cardiac Device Management: Guidance for Practicing Clinicians: A Canadian Journal of Cardiology White Paper.. The Canadian journal of cardiology. https://doi.org/10.1016/j.cjca.2025.05.020
Jacqueline J, Francois P, S CD, Jaimie M, Blandine M, M SM, et al. Current Challenges in Cardiac Device Management: Guidance for Practicing Clinicians: A Canadian Journal of Cardiology White Paper.. The Canadian journal of cardiology. 2026; doi: 10.1016/j.cjca.2025.05.020
Jacqueline J, Francois P, S CD, et al. Current Challenges in Cardiac Device Management: Guidance for Practicing Clinicians: A Canadian Journal of Cardiology White Paper.[J]. The Canadian journal of cardiology. 2026. DOI: 10.1016/j.cjca.2025.05.020.
@article{jacqueline2026,
author = {Joza Jacqueline and Philippon Francois and Chew Derek S and Manlucu Jaimie and Mondésert Blandine and Sadek Mouhannad M and Roberts Jason D and Steinberg Christian and Parkash Ratika and Bennett Matthew T and Greiss Isabelle and Hawkins Nathaniel M and Ayala-Paredes Felix and Essebag Vidal and Khoo Clarence and Kulyk Katherine and Lockwood Evan and Mardell Andrew and Morillo Carlos A and Murtagh Emily and Raj Satish R and Redpath Calum and Sandhu Roopinder K and Sheldon Robert S and Sterns Laurence D and Terricabras Casas Maria and Verma Atul and Andrade Jason G},
title = {Current Challenges in Cardiac Device Management: Guidance for Practicing Clinicians: A Canadian Journal of Cardiology White Paper.},
journal = {The Canadian journal of cardiology},
year = {2026},
doi = {10.1016/j.cjca.2025.05.020},
note = {PMID: 41539744},
}
TY - JOUR AU - Joza Jacqueline AU - Philippon Francois AU - Chew Derek S AU - Manlucu Jaimie AU - Mondésert Blandine AU - Sadek Mouhannad M AU - Roberts Jason D AU - Steinberg Christian AU - Parkash Ratika AU - Bennett Matthew T AU - Greiss Isabelle AU - Hawkins Nathaniel M AU - Ayala-Paredes Felix AU - Essebag Vidal AU - Khoo Clarence AU - Kulyk Katherine AU - Lockwood Evan AU - Mardell Andrew AU - Morillo Carlos A AU - Murtagh Emily AU - Raj Satish R AU - Redpath Calum AU - Sandhu Roopinder K AU - Sheldon Robert S AU - Sterns Laurence D AU - Terricabras Casas Maria AU - Verma Atul AU - Andrade Jason G TI - Current Challenges in Cardiac Device Management: Guidance for Practicing Clinicians: A Canadian Journal of Cardiology White Paper. T2 - The Canadian journal of cardiology PY - 2026 DO - 10.1016/j.cjca.2025.05.020 AN - PMID:41539744 ER -
Cardiac implantable electronic devices (CIED) are medical devices that play a significant role in the management of heart disease by regulating cardiac rate and rhythm. CIEDs encompass pacemakers, implantable cardioverter defibrillators, cardiac resynchronisation devices (CRT), and implantable cardiac monitors. While robust evidence supports the use of these devices, there are several areas where technical developments have outpaced robust clinical trials, including: the role of primary prevention implantable cardioverter-defibrillators in the era of contemporary heart failure (HF) therapy, risk stratification in hypertrophic and dilated cardiomyopathies, the use of conduction system pacing, the impact of tricuspid regurgitation in the presence of a CIED, the role of CIEDs in structural valve interventions (such as percutaneous tricuspid valve interventions and transcatheter aortic valve implantation), and role of leadless CIED systems. Here, we critically appraise the literature associated with these evidence gaps, provide expert review and assessment based on the current evidence, and attempt to foster dialogue among key stakeholders, including clinicians, researchers, industry leaders, and policymakers, in order to generate the evidence needed to refine clinical decision-making and improve patient outcomes.