Predictors for hemodynamic improvement with temporary pacing after pediatric cardiac surgery

The Journal of Thoracic and Cardiovascular Surgery
Scott R CeresnakLeonardo Liberman

Abstract

Temporary epicardial pacing wires are commonly placed during pediatric cardiac surgery. Data are sparse on postoperative pacing in this population. The objective of this study was to determine the frequency of use and identify predictors for the use of temporary epicardial pacing wires. Perioperative data were prospectively collected on all patients who underwent cardiac surgery at our institution (n = 162). A total of 117 (72%) patients had temporary epicardial pacing wires placed. Postoperatively, 23 (20%) of 117 patients had hemodynamic improvement with the use of temporary epicardial pacing wires. Indications for pacing were slow junctional rhythm (11/23 [48%]), junctional ectopic tachycardia (7/23 [31%]), pace termination of supraventricular tachycardia (3/23 [13%]) and atrial flutter (1/23 [4%]), and complete heart block (1/23 [4%]). By using univariate analysis, single-ventricle anatomy, heterotaxy, the Fontan procedure, use of circulatory arrest, intraoperative arrhythmia, pacing in the operating room, and use of vasoactive medications were predictors for hemodynamic improvement with the use of temporary epicardial pacing wires (P < .05). On multivariate analysis, the Fontan procedure, circulatory arrest, and intraopera...Continue Reading

References

Oct 11, 1992·The Annals of Thoracic Surgery·J W Bolton, J E Mayer
Mar 1, 1989·Journal of Cardiac Surgery·P Del Nido, B S Goldman
Aug 1, 1980·The American Journal of Cardiology·S M YabekT Dillon
Dec 1, 1993·The Annals of Thoracic Surgery·W H Gentry, A A Hassan
Jul 1, 1993·The Annals of Thoracic Surgery·T SugitaK Oda
Oct 1, 1996·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·M TakedaY Kotsuka
Aug 30, 2000·Pacing and Clinical Electrophysiology : PACE·J JanousekO Reich
Jan 18, 2003·Pediatric Cardiology·T M HoffmanL A Rhodes
Dec 29, 2004·The Annals of Thoracic Surgery·Brian T BetheaWilliam A Baumgartner
Nov 22, 2005·Cardiology in the Young·Yildirim ImrenIrfan Tasoglu
Dec 1, 2005·Circulation·J Philip SaulUNKNOWN Intravenous Amiodarone Pediatric Investigators
May 31, 2006·The Journal of Thoracic and Cardiovascular Surgery·Jeffrey W DelaneyChristopher S Snyder
Jul 31, 2007·The Journal of Thoracic and Cardiovascular Surgery·Jose M MoltedoChristopher S Snyder
Nov 6, 2007·Cardiology in the Young·Steven B FishbergerRedmond P Burke

❮ Previous
Next ❯

Citations

Aug 17, 2012·Current Treatment Options in Cardiovascular Medicine·Yaniv Bar-Cohen, Michael J Silka
Feb 14, 2014·Journal of Cardiothoracic Surgery·Nizar R AlwaqfiAhmad Abu Baker
Apr 1, 2014·The Annals of Thoracic Surgery·Monika ChauhanChristopher W Mastropietro
Jun 1, 2011·Critical Care Nursing Clinics of North America·Linda PaynePaul C Gillette
Mar 19, 2013·Pediatric Cardiology·Gregory M BarkerIlana Zeltser
Feb 15, 2012·The Journal of Thoracic and Cardiovascular Surgery·Punkaj GuptaStephen J Roth
Apr 1, 2011·World Journal for Pediatric & Congenital Heart Surgery·Richard A Jonas
Oct 28, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Gopinath PerumalPrem Venugopal
Aug 5, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Andrew H Smith

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Antiarrhythmic Agents: Mechanisms of Action

Understanding the mechanism of action of antiarrhythmic agents is essential in developing new medications as treatment of cardiac arrhythmias is currently limited by the reduced availability of safe and effective drugs. Discover the latest research on Antiarrhythmic Agents: Mechanism of Action here.

Anti-Arrhythmic Drug Therapies

Anti-arrhythmic drugs are used to prevent abnormal heart rhythms. These medications are used in conditions including, ventricular tachycardia, ventricular fibrillation and atrial fibrillation. Discover the latest research on anti-arrhythmic drug therapies here.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Related Papers

The Annals of Thoracic Surgery
Emanuela ValsangiacomoUrs Bauersfeld
The Journal of Thoracic and Cardiovascular Surgery
Jose M MoltedoChristopher S Snyder
The Journal of Thoracic and Cardiovascular Surgery
Punkaj GuptaStephen J Roth
© 2021 Meta ULC. All rights reserved