Project My Heart Your Heart: Pacemaker Reuse

Inclusion Criteria:

• Life expectancy ≥ 2 years.

• Indications for device implantation must be fulfilled per standard of care.Consistent with 2008 American College of Cardiology / American Heart Associationguidelines for device therapy, one of the following class I indications must be met.

• Sinus Node Dysfunction

• Acquired Atrioventricular (AV) Block

• Chronic Bifascicular Block

• Hypersensitive Carotid Syndrome

• Lack of financial ability to pay for a new device must be assessed and documented.

• All other methods of new device acquisition must be exhausted.

• Patient must be agreeable and able to follow-up with the implanting center within 2weeks for wound check, at 2 months, 6 months, and every 6 months thereafter forroutine pacemaker checks.

Exclusion Criteria:

• Severe valvular disease

• Severe pulmonary disease

• End-stage renal disease (creatinine clearance < 30 mL/min) whether or not ondialysis

• Evidence of ongoing systemic infection

• Prior pacemaker or implantable cardioverter-defibrillator implantation

• Significant contraindication to pacemaker implantation per evaluation of theimplanting physician (very high risk of complications).

• Presence of any other condition that the local investigator feels would beproblematic or would restrict or limit the participation of the patient for theentire study period

• Pregnant women