Bradycardia surgery

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Bradycardia Microchapters

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Overview

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Differentiating Bradycardia from other Conditions

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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

  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. "Pacemaker Indications - StatPearls - NCBI Bookshelf".

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