Screening value of detection of sinus node function to temporary cardiac pacemaker in elderly non-cardiac surgery patients
WANG Yan-fei
ZHAO Wen-ping
CAO Xue-bin
WANG Hong-chao
ZHANG Bao-jun
ZHANG Lan-fang
Abstract：Objective To investigate the screening value of detection of sinus node function to temporary cardiac pacemaker in elderly non-cardiac surgery patients, and analyze the influences of anesthesia methods and inserting routes and difference in risk of complications. Methods The elderly patients (n=112) aged over 60 were chosen from the Affiliated Hospital of Hebei University from Oct. 2009 to Oct. 2012. All patients had undergone non-cardiac surgery, and they were implanted temporary cardiac pacemakers as their ECG showed sinus bradycardia and atropine test showed positive before the operation. The sinus node function was determined through transesophageal atrial pacing (TEAP). The primary endpoint was to determine if pacemakers worked during operation, and secondary endpoint was to sum up and analyze the general data, anesthesia methods, inserting routes of pacemaker and complications. Results ①There were 48 cases (42.86%) showing positive results in TEAP. ②The percentages of pacemaking during and after operation were higher in the patients with positive results in TEAP than that in those with negative results in TEAP (70.83%vs. 10.94%, P<0.05). ③The percentages of pacemaking during and after operation showed no statistical significance after all patients were divided into groups according to anesthesia methods (general anesthesia vs. continuous epidural anesthesia vs. local infiltration anesthesia:35.42%vs. 31.25%vs. 28.57%, P>0.05). ④The incidence of complications, such as pseudoaneurysm, myocaridal perforation, massive hemorrhage, cardiac tamponade and infective endocarditis, had no statistical difference in different routes of pacemaker implantation. Conclusion The reviewing of sinus node function by TEAP has a good screening effect in elderly non-cardiac surgery patients before operation. Different anesthesia methods have no influences on the pacemaking of temporary cardiac pacemakers during and after operation, and the routes of implantation have no influences on the incidence of complications.
Keywords：Transesophageal atrial pacingAtropine testTemporaryPacingElderlySurgery
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 473-475 )