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Related Experiment Videos

Pacing in children.

H Ector, G Dhooghe, W Daenen

    British Heart Journal
    |May 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

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    Pediatric pacemaker implantation showed significant lead malfunction rates, impacting long-term outcomes. Future improvements in pacing technology and techniques are crucial for better results in children requiring pacemakers.

    Area of Science:

    • Pediatric Cardiology
    • Biomedical Engineering

    Background:

    • Permanent pacemaker implantation in children presents unique challenges.
    • Early pacemaker systems had limitations affecting pediatric patient outcomes.

    Purpose of the Study:

    • To review the early experience of permanent pacemaker implantation in a pediatric population.
    • To identify complications and assess outcomes in children with pacemakers.

    Main Methods:

    • Retrospective review of 14 pediatric patients who received permanent pacemakers between 1967 and 1983.
    • Analysis of indications for pacing, device types, lead systems, and complications.

    Main Results:

    • Nine patients had postoperative complete heart block, three congenital complete heart block, and two sick sinus syndrome.

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  • Lead system malfunction occurred in 7 of 14 patients, with 20 lead malfunctions in total.
  • Two patient deaths occurred, one sudden and one post-aortic valve replacement.

    • Conclusions:

    • Early pediatric pacemaker implantation faced significant challenges, particularly with lead reliability.
    • Despite complications, psychological and physical development appeared normal in the surviving children.
    • Advancements in pacemaker technology and surgical techniques are essential for improving the prognosis of pediatric patients requiring permanent pacing.