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
Apr 1, 1997·Journal of the American College of Cardiology·E P WalshD L Wessel
Aug 30, 2000·Pacing and Clinical Electrophysiology : PACE·J JanousekO Reich
Jan 18, 2003·Pediatric Cardiology·T M HoffmanL A Rhodes
Jul 1, 1958·Circulation Research·W L WEIRICHC W LILLEHEI
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
Mar 27, 2007·The Journal of Thoracic and Cardiovascular Surgery·Joanna RekawekWanda Kawalec
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
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
Aug 22, 2013·Cardiology in the Young·Bjoern PetersBoris Schmitt
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
Dec 2, 2014·Cardiology in the Young·Gina N Cassel-ChoudhuryScott R Ceresnak
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
Feb 6, 2014·Cardiology in the Young·Kurt PiggottCarlos Blanco
Oct 28, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Gopinath PerumalPrem Venugopal
Dec 14, 2019·Pediatric Cardiology·Taiki HagaAtsushi Ujiro
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
Dec 20, 2018·Pediatric Cardiology·Anastasios C PolimenakosM Vinayak Kamath
Feb 28, 2016·Pacing and Clinical Electrophysiology : PACE·Nivedita MohariAnjan S Batra
Mar 19, 2021·International Heart Journal·Hirofumi SaikiHideaki Senzaki