Pacemaker Following Adult Cardiac Surgery

Miriam, Silvero; Leonardo, B. M. Resstel; Solari, Gabriel

doi:10.5772/23402

Cited by 1 publication

(2 citation statements)

References 65 publications

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“…The risk of developing conduction disturbances after CABG or valvular surgery leading to permanent pacemaker (PPM) implantation is about 0.4-1.1% of patients after isolated CABG and 3-6% after heart valve operations [169][170][171]. It seems that in the current surgical era that the incidence of postoperative PPM implantation has decreased due to improvements in surgical techniques, technological innovations and enhanced understanding of the mechanisms of injury [172]. However, some studies have shown an increased incidence of PPM implantation after cardiac surgery after the year 2000 [173].…”

Section: Epidemiologymentioning

confidence: 99%

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Arrhythmias Post Coronary Artery Bypass Surgery

Al‐Ghamdi¹

2017

Coronary Artery Bypass Graft Surgery

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Arrhythmias are common after cardiac surgery such as coronary artery bypass grafting surgery. Although most of these arrhythmias are transient and have a benign course, it may represent a significant source of morbidity and mortality. Postoperative arrhythmias (POAs) include atrial tachyarrhythmias, ventricular arrhythmias, and bradyarrhythmias. The incidence of POAs has not changed despite improvements in anesthetic and surgical techniques. The tachyarrhythmias in the postoperative period include atrial fibrillation, atrial flutter, supraventricular tachycardia, and ventricular tachycardia. The clinical significance of each arrhythmia depends on several factors that include cardiac function, patient's comorbidities, arrhythmia duration, and ventricular response rate. Tachycardia with uncontrolled ventricular rates can cause diastolic and later on systolic dysfunction, reduce cardiac output, and result in hypotension or myocardial ischemia. In the other hand, bradyarrhythmias may have a remarkable influence on patients with systolic or diastolic ventricular dysfunction. Arrhythmia management starts preoperatively with optimizing the patient's condition and controlling patient's risk factors, intraoperatively with careful attention to hemodynamic changes during surgery and uses appropriate anesthesia, and postoperatively with correction of temporary and correctable predisposing factors, as well as specific therapy for the arrhythmia itself. The POAs treatment urgency and management options are determined by the clinical presentation of the arrhythmia.

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Section: Epidemiologymentioning

confidence: 99%

“…Operative risk factors include myocardial ischemia, inadequate cardiac protection during surgery, and direct surgical injury to conduction system, prolonged CPB time and cross-clamp time, and reoperation [171,172,174,179,180].…”

Section: Pathophysiology and Risk Factorsmentioning

confidence: 99%

Arrhythmias Post Coronary Artery Bypass Surgery

Al‐Ghamdi¹

2017

Coronary Artery Bypass Graft Surgery

View full text Add to dashboard Cite

show abstract

Pacemaker Following Adult Cardiac Surgery

Cited by 1 publication

References 65 publications

Arrhythmias Post Coronary Artery Bypass Surgery

Arrhythmias Post Coronary Artery Bypass Surgery

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