Bradycardia surgery: Difference between revisions

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==Overview==
==Overview==
Surgery is not the first-line treatment option for patients with bradycardia. However, temporary pacemaker followed by permanent pacemaker therapy may required in some conditions.  
Surgery is not the first-line treatment option for patients with [[bradycardia]]. However, a temporary [[pacemaker]] followed by [[permanent pacemaker]] therapy may be required in some conditions.  


==Surgery==
==Surgery==
===Temporary Pacemaker===
===Temporary Pacemaker===
In general, temporary cardiac pacing is indicated when a bradyarrhythmia causes symptoms and/or severe hemodynamic impairment and when permanent cardiac pacing is not immediately indicated, not available, or the risk of inserting a permanent pacemaker exceeds potential benefit. It is most commonly used for patients with symptomatic [[bradyarrhythmias]], most frequently due to [[atrioventricular (AV) nodal block]]. <ref name="pmid26134176">{{cite journal |vauthors=Sullivan BL, Bartels K, Hamilton N |title=Insertion and Management of Temporary Pacemakers |journal=Semin Cardiothorac Vasc Anesth |volume=20 |issue=1 |pages=52–62 |date=March 2016 |pmid=26134176 |doi=10.1177/1089253215584923 |url=}}</ref>


=== Permanent Pacemaker ===
*In general, temporary cardiac pacing is indicated when a [[bradyarrhythmia]] causes symptoms and/or severe hemodynamic impairment and when permanent cardiac pacing is not immediately indicated, not available, or the risk of inserting a permanent pacemaker exceeds potential benefit.
Permanent Pacemaker is indicated in sinus node dysfunction, AV block, post MI and Neurally-mediated syncope. <ref name="urlPacemaker Indications - StatPearls - NCBI Bookshelf">{{cite web |url=https://www.ncbi.nlm.nih.gov/books/NBK507823/ |title=Pacemaker Indications - StatPearls - NCBI Bookshelf |format= |work= |accessdate=}}</ref>
*Temporary pacemaker is most commonly used for patients with symptomatic [[bradyarrhythmias]], most frequently due to [[Atrioventricular block|atrioventricular]] (AV) nodal block. <ref name="pmid26134176">{{cite journal |vauthors=Sullivan BL, Bartels K, Hamilton N |title=Insertion and Management of Temporary Pacemakers |journal=Semin Cardiothorac Vasc Anesth |volume=20 |issue=1 |pages=52–62 |date=March 2016 |pmid=26134176 |doi=10.1177/1089253215584923 |url=}}</ref>
 
===Permanent Pacemaker===
 
*Permanent [[Pacemaker]] is indicated in [[Sinus node dysfunction|sinus node dysfunction,]] [[Atrioventricular block|AV block]], post MI and neurally-mediated [[syncope]].<ref name="pmid29939600">{{cite journal| author=| title=StatPearls | journal= | year= 2020 | volume=  | issue=  | pages=  | pmid=29939600 | doi= | pmc= | url= }} </ref>


==References==
==References==
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[[Category:Needs content]]
[[Category:Cardiology]]

Latest revision as of 13:53, 27 October 2020

Bradycardia Microchapters

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Overview

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M.Umer Tariq [2] Ibtisam Ashraf, M.B.B.S.[3]

Overview

Surgery is not the first-line treatment option for patients with bradycardia. However, a temporary pacemaker followed by permanent pacemaker therapy may be required in some conditions.

Surgery

Temporary Pacemaker

  • In general, temporary cardiac pacing is indicated when a bradyarrhythmia causes symptoms and/or severe hemodynamic impairment and when permanent cardiac pacing is not immediately indicated, not available, or the risk of inserting a permanent pacemaker exceeds potential benefit.
  • Temporary pacemaker is most commonly used for patients with symptomatic bradyarrhythmias, most frequently due to atrioventricular (AV) nodal block. [1]

Permanent Pacemaker

References

  1. Sullivan BL, Bartels K, Hamilton N (March 2016). "Insertion and Management of Temporary Pacemakers". Semin Cardiothorac Vasc Anesth. 20 (1): 52–62. doi:10.1177/1089253215584923. PMID 26134176.
  2. "StatPearls". 2020. PMID 29939600.

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