SURGERY FOR ACQUIRED HEART DISEASE AND CARDIAC PACING

Six adult patients underwent permanent pacemaker implantations before or after cardiac surgery. After the clinical assessment of. these patients, we conclude as follows. (1) The electrocardiographic diangnosis of myocardial ischemia in patients with permanent pacemakers may be difficult or sometimes...

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Bibliographic Details
Published inJinko Zoki Vol. 21; no. 2; pp. 669 - 671
Main Authors YAMADA, M, NARISAWA, T, MORIYASU, K, KASHIMA, T, TANAKA, H, SAIDA, K, YOKOKAWA, H, FUNAMI, M, INOUE, K, TAKADBA, T
Format Journal Article
LanguageJapanese
Published JAPANESE SOCIETY FOR ARTIFICIAL ORGANS 1992
Subjects
cardiac surgery
pacemaker implantation
physiologic pacing
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Summary:Six adult patients underwent permanent pacemaker implantations before or after cardiac surgery. After the clinical assessment of. these patients, we conclude as follows. (1) The electrocardiographic diangnosis of myocardial ischemia in patients with permanent pacemakers may be difficult or sometimes impossible in the presence of intraventricular conduction disturbances. Coronary arteriography should be performed in a patients with angina pectoris as soon as possible. (2) In patients with valvular heart disease or ischemic heart disease, assessment of indications for cardiac surgery should be made after the recovery from brady-cardia. (3) In case of cardiac surgery in the patients with pacemaker, it is important to consider the effect of surgery to the pacemaker. (4) Physiologic pacing has an effective function to improve hemodynamics after cardiac surgery.
ISSN:0300-0818
1883-6097
DOI:10.11392/jsao1972.21.669