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, temporary pacemaker followed by permanent pacemaker therapy may 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> | 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 === | ===Permanent Pacemaker=== | ||
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> | Permanent [[Pacemaker]] is indicated in [[Sinus node dysfunction|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> | ||
==References== | ==References== |
Revision as of 00:12, 27 August 2020
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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, temporary pacemaker followed by permanent pacemaker therapy may 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. It 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".