Bradycardia surgery: Difference between revisions
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===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 (AV) nodal block | *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="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> | ||
==References== | ==References== |
Revision as of 14:30, 26 October 2020
Bradycardia Microchapters |
Diagnosis |
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Treatment |
Case Studies |
Bradycardia surgery On the Web |
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]
References
- ↑ 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.
- ↑ "Pacemaker Indications - StatPearls - NCBI Bookshelf".