Bradycardia surgery
Bradycardia Microchapters |
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Bradycardia surgery On the Web |
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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, 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".