Abstract

<![CDATA[Permanent cardiac pacing in children with postoperative bradycardia: long-term follow-up]

Highlights

  • The use of definitive pacemakers (DPM) in children is rare, with surgical lesion of the conduction system being the main reasons for their implantation

  • Permanent postoperative bradyarrhythmias have been associated to high morbidity due to arrhythmias with hemodynamic involvement

  • The current study was developed aiming at analyzing the long-term evolution of patients with DPM due to postoperative bradyarrhythmias and to identify risk factors for death

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Summary

Introduction

The use of definitive pacemakers (DPM) in children is rare, with surgical lesion of the conduction system being the main reasons for their implantation. Permanent postoperative bradyarrhythmias have been associated to high morbidity due to arrhythmias with hemodynamic involvement. Postoperative atrioventricular blocks, in particular, are associated to high mortality even in patients submitted to corrections considered complete [1]. Permanent artificial heart pacing significantly reduces the death in these patients, giving an adequate long-term evolution. Mortality is generally related to the underlying disease and rarely to dysfunction of the pacing system. The current study was developed aiming at analyzing the long-term evolution of patients with DPM due to postoperative bradyarrhythmias and to identify risk factors for death

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