2021 PACES expert consensus statement on the indications and management of cardiovascular implantable electronic devices in pediatric patients

Shah, Maully J.; Silka, Michael J.; Silva, Jennifer N. Avari; Balaji, Seshadri; Beach, Cheyenne; Benjamin, Monica; Berul, Charles I.; Cannon, Bryan C.; Cecchin, Frank; Cohen, Mitchell I.; Dalal, Aarti; Dechert, Brynn E.; Foster, Anne; Gebauer, Roman; Corcia, M Cecilia Gonzalez; Kannankeril, Prince J.; Karpawich, Peter P.; Kim, Jeffery J; Krishna, Mani Ram; Kubuš, Peter; LaPage, Martin J.; Mah, Douglas Y.; Malloy-Walton, Lindsey; Miyazaki, Aya; Motonaga, Kara S.; Olen, Melissa; Paul, Thomas; Rosenthal, Éric; Saarel, Elizabeth V.; Silvetti, Massimo Stefano; Stephenson, Elizabeth A.; Tan, Reina Bianca; Triedman, John K.; Bergen, Nicholas H. Von

doi:10.1016/j.ipej.2021.07.005

Cited by 9 publications

(3 citation statements)

References 319 publications

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“…This retrospective observational study enrolled 65 children with bradycardia who were consecutively hospitalised in the First Affiliated Hospital of Tsinghua University from March 2019 to August 2021. All children met the indication of permanent pacemaker implantation 4 and received pacemaker implantation.…”

Section: Patientsmentioning

confidence: 99%

“…3 Meanwhile, the 2021 PACES expert consensus statement on the indications and management of CIED in paediatric patients did not provide an ideal pacing site for children. 4 Only a few studies reported on the use of left bundle branch area pacing in children. 5,6 Therefore, this study aimed to determine the ideal pacing site in children by investigating the difference in postoperative ventricular synchrony in children with left bundle branch area pacing and those with right ventricular septal pacing using two-dimensional speckle tracking echocardiography.…”

mentioning

confidence: 99%

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Comparison of ventricular synchrony in children with left bundle branch area pacing and right ventricular septal pacing

Jiang

Cui

et al. 2023

Cardiol Young

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Objective: This study aimed to determine the ideal pacing site in children by comparing the postoperative ventricular synchrony in children with left bundle branch area pacing and those with right ventricular septal pacing. Methods: This retrospective study included children with complete atrioventricular block who underwent permanent pacemaker implantation from March 2019 to August 2021. Patients were grouped according to their ventricular pacing site, the left bundle branch area pacing group and the right ventricular septal pacing group. Two-dimensional speckle tracking echocardiography was used to evaluate the ventricular synchrony. Results: Forty-eight children (median age, 2.7 years; interquartile range, 1.7–4.6 years) were included. The paced QRS duration in the left bundle branch area pacing group was significantly narrower than that in the right ventricular septal pacing group (100.2 ± 9.3 versus 115.4 ± 15.1 ms, p = 0.001). The median follow-up duration was 1.5 years (interquartile range, 1–2 years). At the last follow-up, the average capture threshold of the ventricular electrode in the left bundle branch area pacing group was lower than that in the right ventricular septal pacing group (0.79 ± 0.18 versus 1.20 ± 0.56 V, p = 0.008). The left ventricular intraventricular synchrony parameters in the left bundle branch area pacing group were better than those in the right ventricular septal pacing group (e.g. standard deviation of the time to peak longitudinal strain, 37.4 ± 4.3 versus 46.6 ± 8.2 ms, p = 0.000). The average interventricular mechanical delay time in the left bundle branch area pacing group was significantly shorter than that in the right ventricular septal pacing group (36.4 ± 14.2 versus 52.5 ± 22.7 ms, p = 0.016). Conclusion: Compared with right ventricular septal pacing, left bundle branch area pacing in children produces a narrower QRS duration and better pacing and ventricular synchrony parameters postoperatively.

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Section: Patientsmentioning

confidence: 99%

mentioning

confidence: 99%

Comparison of ventricular synchrony in children with left bundle branch area pacing and right ventricular septal pacing

Jiang

Cui

et al. 2023

Cardiol Young

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“…It generally occurs in 2% of the pregnancies of Ro-positive mothers, during the first 16-24 weeks of gestation, with high recurrence rates for subsequent pregnancies ( 100 ). The mortality rates in infants affected by CHB are relatively high (up to 30%) and most live-born children will require permanent pacing, with data indicating that pacing should be done as early as possible, considering symptoms, QRS escape rhythm width, left ventricular dysfunction or mean ventricular rate ( 101 , 102 ). Anti-Ro52 antibodies display a high affinity for fetal cardiac cells, inducing apoptosis as they initially bind to them.…”

Section: Cardiovascular Involvement In Sjogren’s Syndromementioning

confidence: 99%

Cardiovascular Disease in Primary Sjögren’s Syndrome: Raising Clinicians’ Awareness

Casian

Jurcuţ²,

Dima

et al. 2022

Front. Immunol.

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In the ever evolving landscape of systemic immune mediated diseases, an increased awareness regarding the associated cardiovascular system impairment has been noted in recent years. Even though primary Sjögren’s Syndrome (pSS) is one of the most frequent autoimmune diseases affecting middle-aged individuals, the cardiovascular profile of this specific population is far less studied, at least compared to other autoimmune diseases. Traditional cardiovascular risk factors and disease specific risk factors are inextricably intertwined in this particular case. Therefore, the cardiovascular risk profile in pSS is a multifaceted issue, sometimes difficult to assess. Furthermore, in the era of multimodality imaging, the diagnosis of subclinical myocardial and vascular damage is possible, with recent data pointing that the prevalence of such involvement is higher in pSS than in the general population. Nevertheless, when approaching patients with pSS in terms of cardiovascular diseases, clinicians are often faced with the difficult task of translating data from the literature into their everyday practice. The present review aims to synthesize the existing evidence on pSS associated cardiovascular changes in a clinically relevant manner.

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A Study to Analyse the Feasibility and Effectiveness of Left Bundle Branch Area Pacing Used in Young Children

Jiang

Zhang

et al. 2023

Pediatr Cardiol

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This study was performed to investigate the feasibility and effectiveness of left bundle branch area pacing (LBBaP) used in young children. MethodsFrom September 2020 to May 2021, total of thirty-one children (≤ 7 years old) with complete atrioventricular block were included. All patients were intended to receive the operation of LBBaP. The pacing parameters, cardiac function and cardiac synchrony were evaluated during follow-up. ResultsLBBaP succeeded in twenty-two children (3.3 ± 2.1 years old), with a success rate of 70.9%. LBBaP had failed in nine children, these children received right ventricular septal pacing (RVSP) eventually. The average postoperative QRS duration in patients of LBBaP group was narrower than that of RVSP group: 100.9 ± 9.1 versus 114.2 ± 11.9 ms (P = 0.002). The median time of follow-up was 12 (IQR 6-15) months.At last time of follow-up, the capture threshold of ventricular electrode in patients of LBBaP group were signi cantly lower than that of RVSP group (0.70 ± 0.25 versus 1.39 ± 0.94 V, P = 0.011). The echo-LVEF in patients of LBBaP group were better than that of RVSP group (66.1 ± 3.3 versus 63.1 ± 2.2%, P = 0.025). Additionally, the intraventricular and interventricular synchrony parameters in patients of LBBaP group were better than that of RVSP group: the standard deviation of time to peak strain (38.1 ± 5.3 versus 50.3 ± 7.0 ms, P = 0.000) and the interventricular mechanical delay time (38.4 ± 19.9 versus 65.0 ± 31.1 ms, P = 0.012) respectively. ConclusionLBBaP could be safely and effectively for young children. Satisfactory pacing parameters, narrow QRS duration and well cardiac synchrony parameters could be obtained.

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2021 PACES expert consensus statement on the indications and management of cardiovascular implantable electronic devices in pediatric patients

Cited by 9 publications

References 319 publications

Comparison of ventricular synchrony in children with left bundle branch area pacing and right ventricular septal pacing

Comparison of ventricular synchrony in children with left bundle branch area pacing and right ventricular septal pacing

Cardiovascular Disease in Primary Sjögren’s Syndrome: Raising Clinicians’ Awareness

A Study to Analyse the Feasibility and Effectiveness of Left Bundle Branch Area Pacing Used in Young Children

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