Postoperative care of patients with myocardial implanted pacemakers

• Published in: Jinko Zoki Vol. 4; no. 1; pp. 44 - 49
• Main Authors: HATTORI, M., ITO, T., YASUI, S., TANAHASHI, Y., SAWADA, K., ITO, A., WATANABE, Y., TSUZUKI, J., TOYAMA, J.
• Format: Journal Article
• Language: Japanese
• Published: JAPANESE SOCIETY FOR ARTIFICIAL ORGANS 1975; 一般社団法人 日本人工臓器学会
• Subjects: postpericardiotomy syndrome; カテーテル電極; 副腎皮質ホルモン; 心筋電極; 術後管理表
• ISSN: 0300-0818; 1883-6097
• DOI: 10.11392/jsao1972.4.44

There are two conventional modes of electrode insertion for implantation of pacemakers, myocardial and transvenous catheter modes. At the present time, the latter is widely used because of its easier operative procedure and a lesser incidence of surgical burdens and complications. However, the problems of the dislodgement of electrodes and many other accidents lie in patients with catheter electrodes. Therefore, we have, as a rule, implanted myocardial electrodes to avoid the problems described above. To manage postoperative troubles accompanied with myocardial implantation, we administered adequate doses of corticosteroids and antibiotics after operation, with patients enjoying uneventful postoperative courses. We would recommend the mode of myocardial implantation rather than transvenous catheter implantation because of the following reasons: 1) no troublesome complications are associated with former mode, such as dislodgement of electrodes and cardiac perforation, 2) the postoperative untoward reactions accompanied with myocardial implantation are well managed by combination of enough corticosteroids and antibiotics.