Complicanze e sequele dell'elettrostimolazione cardiaca in età pediatrica. Nostra esperienza in 47 bambini.

Translated title of the contribution: Complications and sequelae of cardiac electrostimulation in children. Our experience with 47 children

G. Vignati, L. Mauri, M. Lunati, M. Gasparini, G. Gadaleta, A. Figini

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Permanent cardiac pacing is now easily feasible in children and even in small infants, but the long-term results of this procedure are not well known. We analyzed our experience to determine the morbidity of pacing in children. Over the past 10 years, 47 pediatric patients (pts) required pacemaker implantation in our institution. The mean age was 8.3 +/- 4 years (1 day-17 years) and mean body weight was 23 +/- 14 Kg (2.2-60 Kg). 25 pts had heart disease. 40 children had an A-V block (congenital in 22 cases, post-operative in 17 pts, and secondary to a systemic disease in 1 case); 7 pts had a sick sinus syndrome, primitive in 4 and postoperative in 3 cases. The first pacemaker implantation was epicardial in 17 and transvenous in 30 pts. The pacing was single-chamber in 45 pts (VVI 32, VVIr 7, AAI 5, AAIr 1) and dual-chamber in 2 pts (DDD 1, VDD 1). Two newborns, both with a congenital A-V block and severe heart failure, died in the first hours after epicardial pacing. Two other children, both with congenital heart disease, died during follow-up, but the death was not pacemaker-related. Finally, two children were lost to follow-up. The mean follow-up of the 41 remaining pts was 5.2 +/- 3.5 years (4 months-10 years). Twelve children (29%) required 19 implant revisions and the causes were: lead fracture (26%), rising stimulation threshold (26%), growth problems (21%), erosion and/or pocket infection (21%). Revisions were more common in epicardial (52%) than in endocardial (22%) implantation.(ABSTRACT TRUNCATED AT 250 WORDS)

Original languageItalian
Pages (from-to)415-423
Number of pages9
JournalGiornale Italiano di Cardiologia
Volume22
Issue number4
Publication statusPublished - Apr 1992

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Heart Diseases
Sick Sinus Syndrome
Dichlorodiphenyldichloroethane
Lost to Follow-Up
Heart Failure
Body Weight
Newborn Infant
Pediatrics
Morbidity
Growth
Infection

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Complicanze e sequele dell'elettrostimolazione cardiaca in età pediatrica. Nostra esperienza in 47 bambini. / Vignati, G.; Mauri, L.; Lunati, M.; Gasparini, M.; Gadaleta, G.; Figini, A.

In: Giornale Italiano di Cardiologia, Vol. 22, No. 4, 04.1992, p. 415-423.

Research output: Contribution to journalArticle

Vignati, G. ; Mauri, L. ; Lunati, M. ; Gasparini, M. ; Gadaleta, G. ; Figini, A. / Complicanze e sequele dell'elettrostimolazione cardiaca in età pediatrica. Nostra esperienza in 47 bambini. In: Giornale Italiano di Cardiologia. 1992 ; Vol. 22, No. 4. pp. 415-423.
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abstract = "Permanent cardiac pacing is now easily feasible in children and even in small infants, but the long-term results of this procedure are not well known. We analyzed our experience to determine the morbidity of pacing in children. Over the past 10 years, 47 pediatric patients (pts) required pacemaker implantation in our institution. The mean age was 8.3 +/- 4 years (1 day-17 years) and mean body weight was 23 +/- 14 Kg (2.2-60 Kg). 25 pts had heart disease. 40 children had an A-V block (congenital in 22 cases, post-operative in 17 pts, and secondary to a systemic disease in 1 case); 7 pts had a sick sinus syndrome, primitive in 4 and postoperative in 3 cases. The first pacemaker implantation was epicardial in 17 and transvenous in 30 pts. The pacing was single-chamber in 45 pts (VVI 32, VVIr 7, AAI 5, AAIr 1) and dual-chamber in 2 pts (DDD 1, VDD 1). Two newborns, both with a congenital A-V block and severe heart failure, died in the first hours after epicardial pacing. Two other children, both with congenital heart disease, died during follow-up, but the death was not pacemaker-related. Finally, two children were lost to follow-up. The mean follow-up of the 41 remaining pts was 5.2 +/- 3.5 years (4 months-10 years). Twelve children (29{\%}) required 19 implant revisions and the causes were: lead fracture (26{\%}), rising stimulation threshold (26{\%}), growth problems (21{\%}), erosion and/or pocket infection (21{\%}). Revisions were more common in epicardial (52{\%}) than in endocardial (22{\%}) implantation.(ABSTRACT TRUNCATED AT 250 WORDS)",
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