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Permanent Cardiac Pacing After Open‐heart Surgery: Acquired Heart Disease
Author(s) -
GOLDMAN B.S.,
HILL T.J.,
WEISEL R.D.,
SCULLY H.E.,
MICKLEBOROUGH L.L.,
PYM J.,
BAIRD R.J.
Publication year - 1984
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.1540-8159.1984.tb04919.x
Subject(s) - medicine , valvular heart disease , cardiology , cardiac surgery , surgery , aortic valve replacement , heart disease , heart failure , stenosis
Retrospective review of 5,942 patients who underwent open‐heart surgery for acquired heart disease revealed that 123 patients (2.1%) required permanent cardiac pacing postoperatively; 4.6% of these underwent predominantly valvular surgery and 0.6% had coronary bypass. The most important factors appeared to be: 1) preoperative evidence of a conduction disorder; 2) advanced patient age; 3) dense calcium in the aortic annulus; 4) valvular surgery and, especially, tricuspid valve surgery; and 5) poor myocardial protection. Postoperative permanent pacing had a considerable impact on patient morbidity from maintenance operations; most complications were lead‐related problems.