New conduction defects and pacemaker implantation after heart transplantation
Küçük Resim Yok
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Baycinar Medical Publishing
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Background: This study aims to determine the incidence of new conduction defects and pacemaker implantation and to identify patient characteristics for a permanent pacemaker need after biatrial orthotopic heart transplantation. Methods: B etween F ebruary 1 998 a nd A ugust 2 014, w e retrospectively analyzed the data of 212 consecutive patients (147 males, 65 females; mean age 39.6±15 years; range 5 to 65 years) who underwent heart transplantation with biatrial cuff technique in our clinic. Baseline characteristics and postoperative data were compared among the patients who required a pacemaker or did not. Results: The incidence of permanent pacing after heart transplantation was 6.4%. The most frequent reason for permanent pacing was symptomatic bradycardia. Previous cardiac surgery was associated with a non-significant trend toward a need for permanent pacing (p=0.056). The presence of a ventricular assist device was a found to be associated with both prolonged temporary and permanent pacemaker requirement after biatrial cardiac transplantation (p=0.021 and p=0.042, respectively). Conclusion: Although bradyarrhythmia and need for temporary pacing were common in the early postoperative period, few of these patients needed permanent pacemaker implantation. The need for a permanent pacemaker seems to be more frequent after challenging operations, such as bridge to heart transplantation with a long-term ventricular assist device.
Açıklama
Anahtar Kelimeler
Bradycardia, Heart transplantation, Pacemaker
Kaynak
Turkish Journal of Thoracic and Cardiovascular Surgery
WoS Q Değeri
Scopus Q Değeri
Q3
Cilt
23
Sayı
4
