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Related Experiment Videos

Permanent pacemaker use after cardiac transplantation: completing the audit cycle

N D Holt1, M M Tynan, C D Scott

  • 1Retional Cardiothoracic Centre, Freeman Hospital, Newcastle upon Tyne.

Heart (British Cardiac Society)
|November 1, 1996
PubMed
Summary

Delaying permanent pacemaker implantation after cardiac transplant reduced implantations. Pacemaker use increased significantly at three months, indicating better patient selection for permanent pacing.

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Area of Science:

  • Cardiology
  • Transplant Surgery
  • Electrophysiology

Background:

  • Permanent pacemaker implantation is sometimes necessary after cardiac transplantation.
  • A policy change aimed to delay pacemaker implantation to three weeks or more post-transplant.

Purpose of the Study:

  • To evaluate the impact of delaying permanent pacemaker implantation on pacemaker usage in cardiac transplant recipients.

Main Methods:

  • Retrospective review of electrocardiograms and prospective ambulatory monitoring.
  • Comparison of pacemaker usage before and after a policy change in November 1990.
  • Study included 30 consecutive orthotopic cardiac transplant recipients.

Main Results:

  • Pacemaker implantation rates decreased slightly post-policy change (10.5% vs 7.8%).

Related Experiment Videos

  • Significant increase in pacemaker evidence at three months (37.5% vs 78.6%, P=0.03).
  • Trends suggested increased pacemaker usage at later follow-up times.

    • Conclusions:

    • Delaying pacemaker implantation reduced overall implantations but increased appropriate usage.
    • The policy facilitated more accurate patient selection for permanent pacing.
    • Further investigation into long-term pacing needs post-transplant is warranted.