ST elevation myocardial infarction pacemaker implantation: Difference between revisions

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/* ACC / AHA Guidelines- Permanent Pacing After the Acute Phase of Myocardial Infarction (DO NOT EDIT) Epstein AE, DiMarco JP, Ellenbogen KA, Estes NAM III, Freedman RA, Gettes LS, Gillinov AM, Gregoratos G, Hammill SC, Hayes DL, Hlatky MA, Newby...
Michael Maddaleni (talk | contribs)
nocaptcha
16,504 edits
/* ACC / AHA Guidelines- Permanent Pacing After the Acute Phase of Myocardial Infarction (DO NOT EDIT) Epstein AE, DiMarco JP, Ellenbogen KA, Estes NAM III, Freedman RA, Gettes LS, Gillinov AM, Gregoratos G, Hammill SC, Hayes DL, Hlatky MA, Newby...
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{{cquote|
{|class="wikitable"
===Class IIb===
|-
1. Permanent [[ventricular pacing]] may be considered for persistent [[second-degree AV block|second-]] or [[third-degree infranodal AV block]] at the AV node level, even in the absence of symptoms. ''(Level of Evidence: B)''
| colspan="1" style="text-align:center; background:LemonChiffon"| [[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]]
|-
|bgcolor="LemonChiffon"|<nowiki>"</nowiki>'''1.''' Permanent [[ventricular pacing]] may be considered for persistent [[second-degree AV block|second-]] or [[third-degree infranodal AV block]] at the AV node level, even in the absence of symptoms. ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])'' <nowiki>"</nowiki>
|}


===Class III===
{|class="wikitable"
1. Permanent [[ventricular pacing]] is not indicated for transient [[AV block]] in the absence of intraventricular conduction defects. ''(Level of Evidence: B)''
|-
 
|colspan="1" style="text-align:center; background:LightCoral"| [[ACC AHA guidelines classification scheme#Classification of Recommendations|Class III]] (No Benefit)
2. Permanent [[ventricular pacing]] is not indicated for transient [[AV block]] in the presence of isolated [[left anterior fascicular block]]. ''(Level of Evidence: B)''
|-
 
|bgcolor="LightCoral"| <nowiki>"</nowiki> '''1.''' Permanent [[ventricular pacing]] is not indicated for transient [[AV block]] in the absence of intraventricular conduction defects. ''(Level of Evidence: B)'' <nowiki>"</nowiki>
3. Permanent [[ventricular pacing]] is not indicated for new [[bundle-branch block]] or [[fascicular block]] in the absence of [[AV block]]. ''(Level of Evidence: B)''
|-
 
|bgcolor="LightCoral"|<nowiki>"</nowiki> '''2.''' Permanent [[ventricular pacing]] is not indicated for transient [[AV block]] in the presence of isolated [[left anterior fascicular block]]. ''(Level of Evidence: B)'' <nowiki>"</nowiki>
4. Permanent [[ventricular pacing]] is not indicated for persistent asymptomatic [[first-degree AV block]] in the presence  of [[bundle-branch block|bundle-branch]] or [[fascicular block]]. ''(Level of Evidence: B)''}}
|-
|bgcolor="LightCoral"| <nowiki>"</nowiki> '''3.''' Permanent [[ventricular pacing]] is not indicated for new [[bundle-branch block]] or [[fascicular block]] in the absence of [[AV block]]. ''(Level of Evidence: B)'' <nowiki>"</nowiki>
|-
|bgcolor="LightCoral"| <nowiki>"</nowiki> '''4.''' Permanent [[ventricular pacing]] is not indicated for persistent asymptomatic [[first-degree AV block]] in the presence  of [[bundle-branch block|bundle-branch]] or [[fascicular block]]. ''(Level of Evidence: B)'' <nowiki>"</nowiki>
|}


==Sources==
==Sources==

Revision as of 13:49, 19 October 2012

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Overview

ACC / AHA Guidelines- Permanent Pacing After the Acute Phase of Myocardial Infarction (DO NOT EDIT) [1]

Class I
"1. Permanent ventricular pacing is indicated for persistent second-degree AV block in the His-Purkinje system with alternating bundle-branch block or third-degree AV block within or below the His-Purkinje system after ST-segment elevation MI. (Level of Evidence: B) "
"2. Permanent ventricular pacing is indicated for transient advanced second- or third-degree infranodal AV block and associated bundle-branch block. If the site of block is uncertain, an electrophysiological study may be necessary. (Level of Evidence: B) "
"3. Permanent ventricular pacing is indicated for persistent and symptomatic second- or third-degree AV block. (Level of Evidence: C) "
Class IIa
"1. Permanent ventricular pacing may be considered for persistent second- or third-degree infranodal AV block at the AV node level, even in the absence of symptoms. (Level of Evidence: B) "
Class III (No Benefit)
" 1. Permanent ventricular pacing is not indicated for transient AV block in the absence of intraventricular conduction defects. (Level of Evidence: B) "
" 2. Permanent ventricular pacing is not indicated for transient AV block in the presence of isolated left anterior fascicular block. (Level of Evidence: B) "
" 3. Permanent ventricular pacing is not indicated for new bundle-branch block or fascicular block in the absence of AV block. (Level of Evidence: B) "
" 4. Permanent ventricular pacing is not indicated for persistent asymptomatic first-degree AV block in the presence of bundle-branch or fascicular block. (Level of Evidence: B) "

Sources

  • The ACC/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities [1]

References

  1. ↑ 1.0 1.1 Epstein AE, DiMarco JP, Ellenbogen KA, Estes NAM III, Freedman RA, Gettes LS, Gillinov AM, Gregoratos G, Hammill SC, Hayes DL, Hlatky MA, Newby LK, Page RL, Schoenfeld MH, Silka MJ, Stevenson LW, Sweeney MO. ACC/AHA/HRS 2008 guidelines for device-based therapy of cardiac rhythm abnormalities: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the ACC/AHA/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices). Circulation. 2008; 117: 2820–2840. PMID 18483207


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