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Ventricular pacing in children.

A B Simon, M Dick, A M Stern

    Pacing and Clinical Electrophysiology : PACE
    |November 1, 1982
    PubMed
    Summary
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    Pediatric cardiac pacing in children showed high complication rates, with many requiring repeat procedures and lead failures. Current indications include congenital and postoperative heart block, and sinus node disease.

    Area of Science:

    • Pediatric Cardiology
    • Biomedical Engineering

    Background:

    • Ventricular pacing is a critical intervention for pediatric heart conditions.
    • Children present unique challenges for cardiac device implantation and management.

    Purpose of the Study:

    • To evaluate the outcomes and complications of ventricular pacing in a pediatric population.
    • To review current indications and potential technological advancements for pediatric pacing.

    Main Methods:

    • Retrospective analysis of 41 children (1 day to 20 years) undergoing ventricular pacing.
    • Assessment of indications, operative procedures, lead performance, and patient outcomes.

    Main Results:

    • High rates of pacemaker-related complications were observed, including 66% requiring multiple procedures and 43% experiencing early lead failure.

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  • No deaths were directly attributed to pacemaker management, despite significant complications.

    • Conclusions:

    • Ventricular pacing in children is associated with substantial procedural and lead-related complications.
    • Current indications include symptomatic congenital AV block, sinus node disease, and postoperative heart block.
    • Technological and electrophysiologic advancements are needed to improve outcomes in pediatric pacing.