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Related Experiment Videos

[Pacemaker implants in children].

O García1, R Zilleruelo, O Gómez

  • 1Hospital Luis Calvo Mackenna.

Revista Chilena De Pediatria
|July 1, 1991
PubMed
Summary

Pacemaker implants in children showed low lethality, with most patients experiencing good outcomes. Complications included pulse generator replacements and rare electrode fractures, but long-term survival was high.

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Area of Science:

  • Pediatric Cardiology
  • Biomedical Engineering

Context:

  • Retrospective analysis of pacemaker implants in pediatric patients.
  • Study conducted at a public cardiovascular center in Santiago, Chile (1979-1989).

Purpose:

  • To assess complications and lethality associated with pacemaker implantation in infants and children.
  • Evaluate the long-term outcomes of pediatric pacemaker recipients.

Summary:

  • 32 pediatric patients underwent pacemaker implantation, primarily for congenital atrioventricular block (69%) and post-surgical arrhythmias (31%).
  • 9 children required pulse generator replacement after an average of 5.5 years.
  • Complications included electrode fractures (4 cases) and elevated stimulation thresholds (1 case).
  • Four deaths occurred during follow-up; only one was in the immediate post-operative period and unrelated to the device.

Impact:

  • Demonstrates the safety and efficacy of long-term pacemaker use in pediatric populations.
  • Highlights the need for monitoring and potential device revisions in pediatric pacemaker patients.
  • Provides valuable data for understanding pediatric cardiac device management and outcomes.

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