Document Detail

Permanent pacemaker implantation in infants, children, and adolescents. Long-term follow-up.
MedLine Citation:
PMID:  54228     Owner:  NLM     Status:  MEDLINE    
Twenty-four patients in the pediatric age range who underwent implantation of a cardiac pacemaker for treatment of complete atrioventricular (A-V) block were followed for an average of five years (range 1-12 years). The etiology of the A-V block was surgical in 13 cases, congenital in nine, and acquired in two. Twenty patients had symptoms of cerebrovascular insufficiency and four had congestive heart failure. To date, 18 of the 24 patients studied are alive and well. Death occurred in six patients, five of whom had complex congenital heart defects, and one of whom had Refsum's disease. Death probably was caused by complete heart block despite pacemaker treatment in four patients, and congestive heart failure in two. In 18 of the 24 children with disabling complete A-V block, pacemaker therapy provided relief of symptoms and prolonged life.
J Benrey; P C Gillette; A T Nasrallah; G L Hallman
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Circulation     Volume:  53     ISSN:  0009-7322     ISO Abbreviation:  Circulation     Publication Date:  1976 Feb 
Date Detail:
Created Date:  1976-04-01     Completed Date:  1976-04-01     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  245-8     Citation Subset:  AIM; IM    
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MeSH Terms
Cerebrovascular Disorders / therapy
Child, Preschool
Follow-Up Studies
Heart Block / therapy*
Heart Defects, Congenital / complications
Heart Failure / therapy
Pacemaker, Artificial* / mortality
Postoperative Complications / therapy
Refsum Disease / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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