Cardiac Pacing Following Surgery for Acquired Heart Disease

Abstract

By multivariate logistic regression (odds ratio and p value in parentheses), aortic valve surgery (8.23, p = 0.001), the absence of preoperative sinus rhythm (5.60, p = 0.001), postoperative myocardial infarction (3.46, p = 0.024), and female gender (2.52, p = 0.003), were found to be independent predictors for PP requirement post surgery.

Bloqueio atrioventricular no pós-operatório de cirurgia cardíaca valvar

“…In our study, incidence of AVB with TCP in 17% (187 cases) of the total of 1102 patients undergoing heart valve surgery during the period. However, most AVBs proved to be transient and reversible: only 1.27% of these patients developed DPM need to implant this hospital stay, incidence similar to the literature (1.3% to 9.7%) this association POCS [1][2][3][7][8][9].…”

Permanent pacemaker implantation following isolated aortic valve replacement in a large cohort of elderly patients with severe aortic stenosis

“…However, PPI was associated with a much longer hospital stay. Previous studies suggested a longer hospitalisation in patients requiring PPI following cardiac surgery,3 4 6 but this is the first study to show that PPI is an independent predictor of a longer hospital stay, which in turn would significantly increase the costs of AVR in these patients. The use of temporary pacing for a median of 4 days following the occurrence of conduction disturbances might partly explain the longer hospital stay in these patients.…”

Incidence rate and predictors of permanent pacemaker implantation after transcatheter aortic valve implantation with self-expanding CoreValve prosthesis

“…These complications may affect significantly the outcome of the patient, increase hospital stay, and overall cost and may be associated with an increased risk of sudden death [21]. Several studies have evaluated the possible predictors for implant of PPM after conventional aortic valve surgery [22][23][24][25][26]. Fukuda et al demonstrated that histological abnormalities of the conduction system such as degenerative disease age-related or fibrous thickening of the left ventricular endocardium correlate to aortic valve disease and aortic regurgitation, may cause degeneration of the underlying conduction fibers, predisposing to injury of conduction tissue after surgical aortic valve replacement [27].…”