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Related Experiment Videos

Cardiac pacing in children

D E Ward, M Signy, P Oldershaw

    Archives of Disease in Childhood
    |July 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

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    Permanent pacemaker implantation in pediatric patients, mainly for post-surgical atrioventricular block, showed a high complication rate. Smaller, programmable pacemakers and advanced lead techniques may improve outcomes and reduce reoperations.

    Area of Science:

    • Pediatric Cardiology
    • Biomedical Engineering

    Background:

    • Permanent pacemaker implantation is a critical intervention for pediatric patients with heart rhythm disorders.
    • Post-surgical atrioventricular block is a significant indication for pacing in this age group.
    • Previous pacemaker systems in children have been associated with high complication and reoperation rates.

    Purpose of the Study:

    • To evaluate the outcomes of permanent pacemaker implantation in pediatric patients.
    • To identify common complications associated with pacing systems in children.
    • To explore the potential benefits of newer pacemaker technologies and lead insertion methods.

    Main Methods:

    • Retrospective analysis of 20 pediatric patients (12 months to 13 years) who underwent permanent pacemaker implantation.

    Related Experiment Videos

  • Review of indications for pacing, focusing on post-surgical atrioventricular block.
  • Assessment of complication rates, including infections and lead system issues.
  • Consideration of technological advancements in pacemaker devices and lead placement.

    • Main Results:

    • The study included 20 pediatric patients with a mean age within the specified range.
    • The primary indication for pacemaker implantation was post-surgical atrioventricular block.
    • A high complication rate was observed, predominantly linked to infections and lead system problems.
    • The potential for smaller, multiprogrammable pacemakers to decrease reoperations was noted.

    Conclusions:

    • Permanent pacemaker implantation in pediatric patients, particularly for post-surgical atrioventricular block, is associated with significant complications.
    • Advancements in pacemaker technology, such as smaller, programmable devices, are anticipated to lower reoperation rates.
    • Evolving electrode insertion techniques and active fixation devices offer endocardial pacing as a viable alternative to epicardial pacing in older children.