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Four hundred consecutive patients with permanent transvenous pacemakers
The Journal of Thoracic and Cardiovascular Surgery
|January 11, 1975
Summary
Permanent transvenous pacemakers are a safe and effective treatment for heart block and bradyarrhythmias. This method of cardiac pacing is well-tolerated and complications are minimal and easily managed.
Area of Science:
- Cardiology
- Medical Devices
- Electrophysiology
Background:
- Heart block and bradyarrhythmias can cause significant symptoms like vertigo and syncope.
- Permanent cardiac pacing is a common treatment for these conditions.
Purpose of the Study:
- To evaluate the safety and efficacy of permanent transvenous pacemakers.
- To assess the complication rates associated with this pacing method.
Main Methods:
- A retrospective analysis of 400 consecutive patients who received permanent transvenous pacemakers between 1965 and 1973.
- Inclusion criteria included patients with heart block or other bradyarrhythmias with unexplained symptoms.
Main Results:
- One operative death and one infection occurred in 400 patients.
- Complications such as catheter dislocation, electrode fracture, and exit block were infrequent and correctable.
Conclusions:
- Permanent transvenous pacing is considered the optimal method for cardiac pacing in selected patients.
- The procedure is well-tolerated with a low rate of manageable complications.