Post-operative cardiac implantable electronic devices in patients undergoing cardiac surgery: a contemporary experience

Abstract Aims Optimum timing of pacemaker implantation following cardiac surgery is a clinical challenge. European and American guidelines recommend observation, to assess recovery of atrioventricular block (AVB) (up to 7 days) and sinus node (5 days to weeks) after cardiac surgery. This study aims...

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Veröffentlicht in:Europace (London, England) England), 2021-01, Vol.23 (1), p.104-112
Hauptverfasser: Waddingham, Peter Henry, Behar, Jonathan M, Roberts, Neil, Dhillon, Gurpreet, Graham, Adam J, Hunter, Ross J, Hayward, Carl, Dhinoja, Mehul, Muthumala, Amal, Uppal, Rakesh, Rowland, Edward, Earley, Mark J, Schilling, Richard J, Sporton, Simon, Lowe, Martin, Harky, Amer, Segal, Oliver R, Lambiase, Pier D, Chow, Anthony W C
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Sprache:eng
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Zusammenfassung:Abstract Aims Optimum timing of pacemaker implantation following cardiac surgery is a clinical challenge. European and American guidelines recommend observation, to assess recovery of atrioventricular block (AVB) (up to 7 days) and sinus node (5 days to weeks) after cardiac surgery. This study aims to determine rates of cardiac implantable electronic devices (CIEDs) implants post-surgery at a high-volume tertiary centre over 3 years. Implant timing, patient characteristics and outcomes at 6 months including pacemaker utilization were assessed. Methods and results All cardiac operations (n = 5950) were screened for CIED implantation following surgery, during the same admission, from 2015 to 2018. Data collection included patient, operative, and device characteristics; pacing utilization and complications at 6 months. A total of 250 (4.2%) implants occurred; 232 (3.9%) for bradycardia. Advanced age, infective endocarditis, left ventricle systolic impairment, and valve surgery were independent predictors for CIED implants (P 
ISSN:1099-5129
1532-2092
DOI:10.1093/europace/euaa241