Atrioventricular pacing in congenital heart disease
We have attempted to optimize cardiac performance in patients with congenital heart disease requiring artificial pacing by using pacemakers capable of both sensing and pacing both the atrium and the ventricle (DDD). We reviewed our results with 88 patients receiving DDD devices to determine the safe...
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| Veröffentlicht in: | The Annals of thoracic surgery 1992-09, Vol.54 (3), p.485-489 |
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| container_end_page | 489 |
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| container_title | The Annals of thoracic surgery |
| container_volume | 54 |
| creator | Kratz, John M. Gillette, Paul C. Crawford, Fred A. Sade, Robert M. Zeigler, Vicki L. |
| description | We have attempted to optimize cardiac performance in patients with congenital heart disease requiring artificial pacing by using pacemakers capable of both sensing and pacing both the atrium and the ventricle (DDD). We reviewed our results with 88 patients receiving DDD devices to determine the safety and dependability of these devices in children. Age ranged from 1 hour to 25 years. Endocardial leads were used in 68 patients, whereas epicardial leads were used in 20 patients. Previous cardiac procedures had been done in 30 patients. There were nine deaths but none due to pacemaker malfunction. Endocardial leads functioned better than epicardial leads. Ninety-eight percent of patients with endocardial leads and 62% of patients with epicardial leads were maintained in the DDD mode. Complications were infrequent and all were corrected without long-term sequelae. The DDD mode may offer considerable benefits to children who require artificial pacing. Our data allow us to conclude that most children can be paced safely and dependably in the DDD mode. |
| doi_str_mv | 10.1016/0003-4975(92)90439-B |
| format | Article |
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We reviewed our results with 88 patients receiving DDD devices to determine the safety and dependability of these devices in children. Age ranged from 1 hour to 25 years. Endocardial leads were used in 68 patients, whereas epicardial leads were used in 20 patients. Previous cardiac procedures had been done in 30 patients. There were nine deaths but none due to pacemaker malfunction. Endocardial leads functioned better than epicardial leads. Ninety-eight percent of patients with endocardial leads and 62% of patients with epicardial leads were maintained in the DDD mode. Complications were infrequent and all were corrected without long-term sequelae. The DDD mode may offer considerable benefits to children who require artificial pacing. Our data allow us to conclude that most children can be paced safely and dependably in the DDD mode.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/0003-4975(92)90439-B</identifier><identifier>PMID: 1510515</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Arrhythmias, Cardiac - etiology ; Arrhythmias, Cardiac - therapy ; Cardiac Pacing, Artificial - adverse effects ; Child ; Child, Preschool ; Equipment Failure ; Follow-Up Studies ; Heart Block - etiology ; Heart Block - therapy ; Heart Defects, Congenital - complications ; Heart Defects, Congenital - surgery ; Humans ; Infant ; Infant, Newborn ; Pacemaker, Artificial ; Prospective Studies ; Reoperation</subject><ispartof>The Annals of thoracic surgery, 1992-09, Vol.54 (3), p.485-489</ispartof><rights>1992 The Society of Thoracic Surgeons</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-fc72734ef3b2d3f753b013ed964a24cd525eb749a1e878169c83745a565a48d93</citedby><cites>FETCH-LOGICAL-c438t-fc72734ef3b2d3f753b013ed964a24cd525eb749a1e878169c83745a565a48d93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1510515$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kratz, John M.</creatorcontrib><creatorcontrib>Gillette, Paul C.</creatorcontrib><creatorcontrib>Crawford, Fred A.</creatorcontrib><creatorcontrib>Sade, Robert M.</creatorcontrib><creatorcontrib>Zeigler, Vicki L.</creatorcontrib><title>Atrioventricular pacing in congenital heart disease</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>We have attempted to optimize cardiac performance in patients with congenital heart disease requiring artificial pacing by using pacemakers capable of both sensing and pacing both the atrium and the ventricle (DDD). We reviewed our results with 88 patients receiving DDD devices to determine the safety and dependability of these devices in children. Age ranged from 1 hour to 25 years. Endocardial leads were used in 68 patients, whereas epicardial leads were used in 20 patients. Previous cardiac procedures had been done in 30 patients. There were nine deaths but none due to pacemaker malfunction. Endocardial leads functioned better than epicardial leads. Ninety-eight percent of patients with endocardial leads and 62% of patients with epicardial leads were maintained in the DDD mode. Complications were infrequent and all were corrected without long-term sequelae. The DDD mode may offer considerable benefits to children who require artificial pacing. Our data allow us to conclude that most children can be paced safely and dependably in the DDD mode.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Arrhythmias, Cardiac - etiology</subject><subject>Arrhythmias, Cardiac - therapy</subject><subject>Cardiac Pacing, Artificial - adverse effects</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Equipment Failure</subject><subject>Follow-Up Studies</subject><subject>Heart Block - etiology</subject><subject>Heart Block - therapy</subject><subject>Heart Defects, Congenital - complications</subject><subject>Heart Defects, Congenital - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Pacemaker, Artificial</subject><subject>Prospective Studies</subject><subject>Reoperation</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLw0AQxxdRaq1-A4WcRA_RfWazF6EtvqDgRc_LZndSV9Kk7iYFv72JKXrzNAz_xzA_hM4JviGYZLcYY5ZyJcWVotcKc6bSxQGaEiFomlGhDtH013KMTmL86FfayxM0IYJgQcQUsXkbfLODuh-2q0xItsb6ep34OrFNvYbat6ZK3sGENnE-golwio5KU0U4288Zenu4f10-pauXx-flfJVazvI2La2kknEoWUEdK6VgBSYMnMq4odw6QQUUkitDIJc5yZTNmeTCiEwYnjvFZuhy7N2G5rOD2OqNjxaqytTQdFFLRrgSPO-NfDTa0MQYoNTb4DcmfGmC9cBKDyD0AEIrqn9Y6UUfu9j3d8UG3F9ohNPrd6MO_ZM7D0FH66G24HwA22rX-P8PfANuZ3dL</recordid><startdate>19920901</startdate><enddate>19920901</enddate><creator>Kratz, John M.</creator><creator>Gillette, Paul C.</creator><creator>Crawford, Fred A.</creator><creator>Sade, Robert M.</creator><creator>Zeigler, Vicki L.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19920901</creationdate><title>Atrioventricular pacing in congenital heart disease</title><author>Kratz, John M. ; Gillette, Paul C. ; Crawford, Fred A. ; Sade, Robert M. ; Zeigler, Vicki L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-fc72734ef3b2d3f753b013ed964a24cd525eb749a1e878169c83745a565a48d93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Arrhythmias, Cardiac - etiology</topic><topic>Arrhythmias, Cardiac - therapy</topic><topic>Cardiac Pacing, Artificial - adverse effects</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Equipment Failure</topic><topic>Follow-Up Studies</topic><topic>Heart Block - etiology</topic><topic>Heart Block - therapy</topic><topic>Heart Defects, Congenital - complications</topic><topic>Heart Defects, Congenital - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Pacemaker, Artificial</topic><topic>Prospective Studies</topic><topic>Reoperation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kratz, John M.</creatorcontrib><creatorcontrib>Gillette, Paul C.</creatorcontrib><creatorcontrib>Crawford, Fred A.</creatorcontrib><creatorcontrib>Sade, Robert M.</creatorcontrib><creatorcontrib>Zeigler, Vicki L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kratz, John M.</au><au>Gillette, Paul C.</au><au>Crawford, Fred A.</au><au>Sade, Robert M.</au><au>Zeigler, Vicki L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Atrioventricular pacing in congenital heart disease</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>1992-09-01</date><risdate>1992</risdate><volume>54</volume><issue>3</issue><spage>485</spage><epage>489</epage><pages>485-489</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><abstract>We have attempted to optimize cardiac performance in patients with congenital heart disease requiring artificial pacing by using pacemakers capable of both sensing and pacing both the atrium and the ventricle (DDD). We reviewed our results with 88 patients receiving DDD devices to determine the safety and dependability of these devices in children. Age ranged from 1 hour to 25 years. Endocardial leads were used in 68 patients, whereas epicardial leads were used in 20 patients. Previous cardiac procedures had been done in 30 patients. There were nine deaths but none due to pacemaker malfunction. Endocardial leads functioned better than epicardial leads. Ninety-eight percent of patients with endocardial leads and 62% of patients with epicardial leads were maintained in the DDD mode. Complications were infrequent and all were corrected without long-term sequelae. The DDD mode may offer considerable benefits to children who require artificial pacing. Our data allow us to conclude that most children can be paced safely and dependably in the DDD mode.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>1510515</pmid><doi>10.1016/0003-4975(92)90439-B</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The Annals of thoracic surgery, 1992-09, Vol.54 (3), p.485-489 |
| issn | 0003-4975 1552-6259 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adolescent Adult Arrhythmias, Cardiac - etiology Arrhythmias, Cardiac - therapy Cardiac Pacing, Artificial - adverse effects Child Child, Preschool Equipment Failure Follow-Up Studies Heart Block - etiology Heart Block - therapy Heart Defects, Congenital - complications Heart Defects, Congenital - surgery Humans Infant Infant, Newborn Pacemaker, Artificial Prospective Studies Reoperation |
| title | Atrioventricular pacing in congenital heart disease |
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