Pacemaker Clinic Evaluations: Key to Early Identification of Surgical Problems

The pacemaker center evaluation was responsible for the timely reoperation of 341 pacemaker patients over the last three years. The most common indication for reoperation was battery end‐of‐service (46.3%). Battery testing and maintenance of accurate records for trend analysis ensures prompt generat...

Full description

Saved in:
Bibliographic Details
Published in:Pacing and clinical electrophysiology 1986-11, Vol.9 (6), p.1259-1264
Main Authors: BYRD, CHARLES L., SCHWARTZ, SUSAN J., GONZALES, MICHELE, BYRD, CHARLES B., SIVINA, MANUEL, YAHR, WILLIAM Z., CIRALDO, ROBERT J., GREENBERG, JACK J.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Electrocardiography
Electrodes, Implanted
Equipment Failure
Evaluation Studies as Topic
Female
Humans
Male
Middle Aged
Monitoring, Physiologic
pacemaker surveillance
Pacemaker, Artificial - adverse effects
programming
Reoperation
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The pacemaker center evaluation was responsible for the timely reoperation of 341 pacemaker patients over the last three years. The most common indication for reoperation was battery end‐of‐service (46.3%). Battery testing and maintenance of accurate records for trend analysis ensures prompt generator replacement. Atrial and/or ventricular lead malfunction was the second largest indication (26.3%). Lead malfunction detected by bracketing capture and sensing thresholds included: dislodgement, penetration, exit block, fracture, insulation failure, and abnormal sensing. The third largest indication for reoperation was pacemaker pocket erosion and/or infection (15.5%). Examination of the pacemaker pocket site is an integral part of an evaluation. In conclusion, the three largest indications for reoperations can he best demonstrated in a pacemaker center where evaluations are personal and thorough, and accurate record keeping is maintained.
ISSN:0147-8389
1540-8159
DOI:10.1111/j.1540-8159.1986.tb06705.x