256: Pacemaker Use Following Heart Transplantation

Bates, Michael; Duese, T.; Yarbrough, William M.; Reitz, Bruce A.; Oyer, Philip E.; Robbins, Robert C.; Mallidi, Hari R.

doi:10.1016/j.healun.2007.11.265

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2010

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“…The nature of heart transplantation (surgical trauma, ischemia, cardiac denervation, acute rejection, and donor characteristics) often results in sinus node dysfunction (SND) and chronotropic incompetence. The development of symptomatic SND (including chronotropic incompetence) may be related to surgical trauma/technique, with a higher incidence with the biatrial compared to bicaval anastomosis 2–5 necessitating implantation of permanent pacemakers in up to 24% of patients with heart transplantation in some series.…”

Section: Introductionmentioning

confidence: 99%