Clinical application of permanent cardiac pacemaker implantation after cardiac valve surgery
Zhao Zhanyong
Wu Xiangyu
Wang Qian
Li Ning
Zhang Jingmei
Li Zhizhong
Abstract：Objective To analyze the methods and strategies,safety and effectiveness of permanent cardiac pacemaker implantation after cardiac valve surgery.Methods From January 2008 to January 2018,11 patients underwent permanent cardiac pacemaker implantation after heart valve surgery in Beijing Anzhen Hospital,Capital Medical University.Surgery to pacemaker implantation time was 5-21 d and the mean time was (11 ± 5) d.Pacemaker parameters were examined immediately,1 month and 1 year after implantation.Complications of pacemaker implantation were observed during follow-up.Results All patients were successfully implanted with permanent cardiac pacemaker,including 9 dual-chamber pacemakers and 2 single-chamber pacemakers.Eight ventricular active electrodes,3 ventricular passive electrodes,4 atrial active electrodes and 5 atrial passive electrodes were implanted.No severe bleeding occurred during implantation.One patient developed pocket hematoma after operation,which disappeared after puncture,extraction of congestion and pressure bandaging.No significant changes in electrode parameters were observed immediately,1 month and 1 year after pacemaker implantation(all P ＞ 0.05).Conclusion Permanent cardiac pacemaker can be safely and effectively implanted during the early period after cardiac valve surgery.
Keywords：Heart valve surgeryAtrioventricular blockPermanent cardiac pacemaker
Publication Date：2019-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 1620-1622 )