Biventricular pacing during cardiac operations

Biventricular pacing (resynchronization therapy) improves the duration and quality of life in a subset of patients with congestive heart failure, but this technique has received little attention in the cardiac surgery literature. This report presents some preliminary ideas about its rationale and te...

Full description

Saved in:
Bibliographic Details
Published inThe Heart surgery forum Vol. 6; no. 6; p. E126
Main Authors Gaudiani, Vincent A, Castro, Luis J, Fisher, Audrey L
Format Journal Article
LanguageEnglish
Published United States 2003
Subjects
Aged
Aged, 80 and over
Cardiac Pacing, Artificial - methods
Cardiac Surgical Procedures
Heart Failure - therapy
Humans
Intraoperative Period
Middle Aged
Myocardial Contraction
Pacemaker, Artificial
Randomized Controlled Trials as Topic
Online AccessGet more information

Cover

More Information
Summary:Biventricular pacing (resynchronization therapy) improves the duration and quality of life in a subset of patients with congestive heart failure, but this technique has received little attention in the cardiac surgery literature. This report presents some preliminary ideas about its rationale and technique, and some likely indications for this procedure during the performance of cardiac operations. We briefly summarize the theory and the results of the randomized clinical trials of resynchronization therapy that led us to consider biventricular pacing for high-risk cardiac surgery patients. We present s ome techniques for using temporary and permanent biventricular pacing in the operating room. We review the hospital records and present early results of the first 25 patients in whom we implanted permanent left ventricular free wall pacing electrodes with the intent of implanting biventricular pacing devices. Biventricular pacing has great potential to simplify the management and improve the outcomes of some cardiac surgical patients.
ISSN:1522-6662