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Pacing in children and adolescents
M Panja1, A K Kar, R Bhattacharya
1Department of Cardiology, SSKM Hospital, Calcutta.
Indian Heart Journal
|January 1, 1994
Summary
Pediatric pacemaker implantation effectively treats bradyarrhythmias and syncope, improving quality of life. Challenges include lead complications and growth, though newer devices offer solutions.
Area of Science:
- Pediatric Cardiology
- Biomedical Engineering
Background:
- Congenital and acquired heart rhythm disorders are significant in children.
- Symptomatic bradyarrhythmias, including syncope and heart block, require intervention.
Purpose of the Study:
- To evaluate the long-term outcomes of permanent pacemaker implantation in pediatric patients.
- To identify challenges and successes in pediatric cardiac pacing.
Main Methods:
- Retrospective analysis of 60 pediatric patients (ages 5-16) who received permanent pacemakers.
- Follow-up duration of 3-11 years, assessing clinical status, device function, and complications.
Main Results:
- Congenital complete heart block was the most common indication (48 patients).
- Pacemaker implantation led to improved activity levels and psychological well-being.
- Reoperation was necessary in 35 cases, primarily for lead issues and battery depletion.
Conclusions:
- Permanent pacemaker implantation is a viable and effective treatment for pediatric bradyarrhythmias.
- Pediatric pacing faces unique challenges related to venous access, growth, and device longevity.
- Advancements in device technology are mitigating some of these challenges.