Premium
Ventricular Pacing in Children
Author(s) -
SIMON ARTHUR B.,
DICK MACDONALD,
STERN AARON M.,
BEHRENDT DOUGLAS M.,
SLOAN HERBERT
Publication year - 1982
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.1540-8159.1982.tb06565.x
Subject(s) - medicine , presyncope , cardiac pacing , cardiology , heart block , implant , atrioventricular block , heart failure , population , exertion , anesthesia , heart rate , surgery , electrocardiography , blood pressure , environmental health
Ventricular pacing in children. Ventricular pacing was performed in forty‐one children ranging from one day to twenty years of age (median age = 10). Weight of the recipient at implant ranged from 2 kg. to 86 kg. Indications included presyncope, syncope, dyspnea on exertion, congestive heart failure, postoperative infra‐Hisian heart block, and inadequate cardiac rate during pharmacotherapy. Four patients died during follow‐up, but no deaths were attributable to pacemaker management. In contrast, 66% of the patients required more than one pacemaker related‐operative procedure, and 43% of leads implanted failed by 48 hours. Indications for permanent cardiac pacing in this population at this time are symptomatic congenital AV block, symptomatic sinus node disease, and AV block in the postoperative period. Technological developments which might reduce complications seen in this population and electrophysiologic techniques which may better define indications for pacing in children are also reviewed.