Waiting for a pacemaker: is it dangerous?
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
Bjarke RisgaardJens Christian Toft
Abstract
To determine waiting period-related morbidity, mortality, and adverse events in acute patients waiting for a permanent pacemaker (PPM). A retrospective chart review of all PPM implantations in Region Zealand, Denmark, in 2009 was conducted. Patients were excluded if they were discharged from the hospital during the waiting period or referred from the outpatient department. Adverse events were tracked. Four hundred and eighty-seven PPM implantations were identified. Of these, 259 patients (53.2%) required acute PPM implantation and waited a mean of 5.1 days from PPM indication to implantation. A lack of implantation capacity was responsible for 4.5 of the waiting days. Twenty-nine patients (11.2%) developed infection while waiting, primarily urinary tract infections. Thirteen patients (5.0%) suffered non-sustained ventricular tachycardia, and eight patients (3.1%) suffered clinical cardiac arrest followed by successful resuscitation. Three patients (1.2%) died during the waiting period before successful implantation. Forty-eight patients (18.5%) received the sympathomimetic beta-adrenergic agent, isoprenaline, and seven patients (13.7%) had malignant arrhythmias or cardiac arrest, reaching statistical significance (P < 0.05). Tw...Continue Reading
References
Jun 1, 1975·British Heart Journal·S I CohenE Morkin
Jul 1, 1989·Annals of Emergency Medicine·L F Vukov, D Q Johnson
Mar 29, 2000·Anesthesia and Analgesia·K LaczikaM Muhm
Oct 16, 2002·Circulation·Gabriel GregoratosUNKNOWN American College of Cardiology/American Heart Association Task Force on Practice Guidelines/North American Society for Pacin
Oct 12, 2005·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·Béatrice Brembilla-PerrotChristine Suty-Selton
Feb 24, 2006·Pacing and Clinical Electrophysiology : PACE·Heather BloomJonathan Langberg
Jan 24, 2007·The Journal of Emergency Medicine·Richard A HarriganJacob W Ufberg
Aug 30, 2007·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·Panos E VardasUNKNOWN European Heart Rhythm Association
Sep 30, 2008·QJM : Monthly Journal of the Association of Physicians·M S CunningtonJ M McComb
May 29, 2009·QJM : Monthly Journal of the Association of Physicians·M S CunningtonJ M McComb
Jul 30, 2010·Journal of Zhejiang University. Science. B·Chu-pak Lau, Chung-wah Siu
Jan 22, 2011·European Heart Journal·Jens Brock JohansenJens Cosedis Nielsen
Citations
Mar 29, 2012·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·Uwe K H Wiegand
Oct 23, 2013·International Journal of Biometeorology·Pietro PalmisanoSergio De Blasi
Mar 13, 2012·Scandinavian Cardiovascular Journal : SCJ·Knut GjesdalFredrik Gadler
Mar 10, 2015·European Heart Journal·Jens Cosedis NielsenNiraj Varma
Apr 9, 2015·Internal Medicine Journal·P J BradshawM S T Hobbs
Mar 4, 2015·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·Bernd NowakRajendra H Mehta
Jul 3, 2015·Seminars in Cardiothoracic and Vascular Anesthesia·Breandan Lawrence SullivanNatalie Hamilton
Jan 24, 2014·Clinical Medicine Insights. Cardiology·Antoine Kossaify
Dec 28, 2018·Circulation·Fred M KusumotoPaul D Varosy
Aug 21, 2021·Scientific Reports·Changqing ZhongYi Zhang