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Updated: Jul 21, 2026
07:29
Programmed Electrical Stimulation in Mice
Published on: May 26, 2010
[Cardiac stimulation in the infant and young child]
A Codreanu1, F Marçon, G Bosser
1Département des maladies cardiovasculaires du CHU de Nancy.
Archives Des Maladies Du Coeur Et Des Vaisseaux
|July 4, 2003
Summary
Comparing cardiac stimulation methods in infants, this study found both epicardial and endocavity routes to be comparable. Endocavity stimulation is recommended initially for infants due to technical reasons, with epicardial pacing preferred for dual-chamber needs.
Area of Science:
- Pediatric Cardiology
- Biomedical Engineering
- Medical Device Technology
Context:
- Infantile cardiac stimulation presents unique challenges.
- Evaluating long-term outcomes of epicardial versus endocavity pacing in young children is crucial.
- Retrospective analysis of 37 infants (<3.5 years) with cardiac pacemakers.
Purpose:
- To compare the efficacy and long-term outcomes of endocavity and epicardial cardiac stimulation routes in infants.
- To identify the optimal initial pacing strategy for pediatric patients.
- To assess the evolution and challenges associated with cardiac pacing in a pediatric cohort.
Summary:
- No significant difference in functional duration was found between epicardial and endocavity pacing.
- 14/19 epicardial cases transitioned to endocavity, while no endocavity cases switched to epicardial.
- Endocavity pacing is suggested initially for infants due to technical factors, with epicardial pacing suitable for dual-chamber requirements.
Impact:
- Provides evidence to guide the selection of initial cardiac pacing strategies in infants.
- Highlights the feasibility of endocavity pacing and the evolving role of epicardial pacing with improved electrodes.
- Informs clinical practice regarding the management and long-term care of pediatric patients requiring cardiac stimulation.
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