Bradycardia surgery: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Bradycardia}} | {{Bradycardia}} | ||
{{CMG}}; {{AE}} {{MUT}} {{Ibtisam}} | {{CMG}}; {{AE}} {{MUT}} {{Ibtisam}} | ||
==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. | |||
*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 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=== | ||
Permanent [[Pacemaker]] is indicated in [[Sinus node dysfunction|sinus node dysfunction,]] AV block, post MI and | |||
*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: | [[Category:Cardiology]] | ||
Latest revision as of 13:53, 27 October 2020
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Bradycardia Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Bradycardia surgery On the Web |
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American Roentgen Ray Society Images of Bradycardia surgery |
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
- Permanent Pacemaker is indicated in sinus node dysfunction, AV block, post MI and neurally-mediated syncope.[2]