PMID: 8969378Sep 1, 1996Paper

Cardiac pacing following surgery for acquired heart disease

Journal of Cardiac Surgery
D F Del RizzoB S Goldman

Abstract

This study is comprised of 3493 consecutive patients who underwent open heart surgery at our institution. Data on all patients were collected prospectively. In 45 patients (Group P) (1.3%), a permanent pacemaker (PP) was inserted postoperatively. For the purpose of the study, these patients were compared to 3448 patients (Group NP) who did not require insertion of a PP after surgery. Mean follow-up was 33 months (range 1.5 to 66). We found Group P patients were older (64.8 +/- 11.0 vs 61.0 +/- 11.0 years, p < 0.05), had a higher proportion of elderly (> 70 years) 36% vs 19%, p = 0.01), and of female patients (48.8% vs 22.7%, p < 0.001) compared to Group NP. Group P also had a higher incidence of preoperative rhythm abnormalities (26.6% vs 5.7%, p < 0.0001), redo surgery (13.3% vs 4.6%, p = 0.02), aortic valve surgery (48.8% vs 10.8%, p < 0.001), and tricuspid valve surgery (repair 3, replacement 1) (8.8% vs 0.5%, p < 0.001), in addition to a higher proportion of patients in whom cold (vs warm) blood cardioplegia was used (68.8% vs 52.3%, p = 0.03). Indication for postoperative PP was sick sinus syndrome (SSS) in nine patients; atrial fibrillation in eight patients; atrioventricular block (AVB) in 27 patients; and combined AVB/S...Continue Reading

References

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Jan 1, 1996·Journal of Cardiac Surgery·D F Del RizzoB S Goldman

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Citations

Jun 7, 2006·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Maqsood Elahi, Khalid Usmaan
May 17, 2008·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Denis BerdajsMichele Genoni
Mar 27, 2001·The Annals of Thoracic Surgery·N G Smedira, E H Blackstone
Feb 19, 2002·Journal of the American College of Cardiology·Thomas J Vander SalmKatherine M Detre
Nov 29, 2011·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Valeria CalviCorrado Tamburino
Mar 5, 2016·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Laura GuglielmettiIsaac George
Oct 7, 2009·Pacing and Clinical Electrophysiology : PACE·Hieu HuynhShukri David
Jan 15, 2015·Pacing and Clinical Electrophysiology : PACE·Alexander KoganEhud Raanani
Jan 6, 1999·The Annals of Thoracic Surgery·R S GordonA L Ralph-Edwards
May 4, 2002·The American Journal of Cardiology·Patrick MeimounAlain Carpentier
Nov 21, 2002·The Annals of Thoracic Surgery·José Honório PalmaEnio Buffolo
Oct 16, 2016·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Newton B WigginsKhaldoun G Tarakji
Feb 24, 2005·Journal of Cardiac Surgery·Suat Nail OmerogluCevat Yakut
May 11, 2006·Journal of Cardiac Surgery·Hasan Basri ErdoganCevat Yakut
Aug 5, 2020·Interactive Cardiovascular and Thoracic Surgery·Samuli J SalmiTuomas Kiviniemi
May 24, 2020·Irish Journal of Medical Science·Jason KhoMark Jones
Mar 27, 2018·The Annals of Thoracic Surgery·J Hunter MehaffeyGorav Ailawadi
Sep 7, 2020·Archives of Cardiovascular Diseases·Christophe GarwegRik Willems

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