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Permanent Cardiac Pacing in Infants and Children
Author(s) -
WILLIAMS W.G.,
IZUKAWA T.,
OLLEY P.M.,
TRUSLER G.A.,
ROWE R.D.
Publication year - 1978
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1978.tb03505.x
Subject(s) - medicine , sick sinus syndrome , heart block , cardiac pacing , cardiology , heart disease , pediatrics , electrocardiography
This clinical review details our 15 year experience with permanent cardiac pacemakers in 81 infants and chiJdren. Pacing was found inappropriate in one infant. The other 80 patients were paced because of congenital heart block (24), post‐operative block (50), or sick sinus syndrome (6). Maintenance of long‐term pacing requires all too frequent re‐operation for battery depletion (37%), lead related problems (32%) or wound dehiscence (31 %). Problems related to pacemaker size and the presence of a high myocardial threshold are particularly important in (he pediatric patient. In spite of these problems, children requiring cardiac pacemakers can be extremely well, their prognosis depending almost entirely on the presence of underlying heart disease.