Bradycardia surgery
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Bradycardia Microchapters |
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Bradycardia surgery On the Web |
American Roentgen Ray Society Images of Bradycardia surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M.Umer Tariq [2] Ibtisam Ashraf, M.B.B.S.[3]
Overview
Surgery is not the first-line treatment option for patients with bradycardia. However, a temporary pacemaker followed by permanent pacemaker therapy may be required in some conditions.
Surgery
Temporary Pacemaker
- In general, temporary cardiac pacing is indicated when a bradyarrhythmia causes symptoms and/or severe hemodynamic impairment and when permanent cardiac pacing is not immediately indicated, not available, or the risk of inserting a permanent pacemaker exceeds potential benefit.
- Temporary pacemaker is most commonly used for patients with symptomatic bradyarrhythmias, most frequently due to atrioventricular (AV) nodal block. [1]
Permanent Pacemaker
- Permanent Pacemaker is indicated in sinus node dysfunction, AV block, post MI and neurally-mediated syncope.[2]