New conduction defects and pacemaker implantation after heart transplantation

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dc.contributor.authorEngin C.
dc.contributor.authorErtugay S.
dc.contributor.authorKemal H.S.
dc.contributor.authorŞahin H.
dc.contributor.authorYağdi T.
dc.contributor.authorEngin Y.
dc.contributor.authorAkdemir I.
dc.contributor.authorNalbantgil S.
dc.contributor.authorÖzbaran M.
dc.date.accessioned2019-10-26T21:24:54Z
dc.date.available2019-10-26T21:24:54Z
dc.date.issued2015
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground: 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.en_US
dc.identifier.doi10.5606/tgkdc.dergisi.2015.11889
dc.identifier.endpage621en_US
dc.identifier.issn1301-5680
dc.identifier.issue4en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage617en_US
dc.identifier.urihttps://doi.org/10.5606/tgkdc.dergisi.2015.11889
dc.identifier.urihttps://hdl.handle.net/11454/17210
dc.identifier.volume23en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.publisherBaycinar Medical Publishingen_US
dc.relation.ispartofTurkish Journal of Thoracic and Cardiovascular Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBradycardiaen_US
dc.subjectHeart transplantationen_US
dc.subjectPacemakeren_US
dc.titleNew conduction defects and pacemaker implantation after heart transplantationen_US
dc.typeArticleen_US

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