The presence of a systemic infection, pocket infection or endocarditis is a
Class I indication
for removal of all hardware, including leads. All leading cardiac societies including the American Heart Association (AHA) recommend complete system removal, including the leads.19
Relapse rates with antibiotic treatment only are high, but recurrence drops to
with complete system removal.6-10
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THIS EDUCATIONAL CONTENT IS INTENDED FOR HEALTHCARE PROFESSIONALS ONLY. CARDIAC DEVICE REMOVAL MAY NOT BE APPROPRIATE FOR SOME PATIENTS DEPENDING ON INDIVIDUAL HEALTH FACTORS. TREATMENT DECISIONS SHOULD ALWAYS BE BASED ON THE JUDGMENT AND EXPERTISE OF A HEALTHCARE PROFESSIONAL. IF YOU ARE A PATIENT WITH QUESTIONS OR CONCERNS ABOUT AN IMPLATED CARDIAC DEVICE, PLEASE CONSULT WITH YOUR PHYSICIAN.