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. 2013 Jan;13(1):4-13.
doi: 10.1016/s0972-6292(16)30584-8. Epub 2013 Jan 1.

Cardiac pacing and defibrillation in children and young adults

Harinder R Singh  1 , Anjan S Batra, Seshadri Balaji
Affiliations

Cardiac pacing and defibrillation in children and young adults

Harinder R Singh et al. Indian Pacing Electrophysiol J. 2013 Jan.

Abstract

The population of children and young adults requiring a cardiac pacing device has been consistently increasing. The current generation of devices are small with a longer battery life, programming capabilities that can cater to the demands of the young patients and ability to treat brady and tachyarrhythmias as well as heart failure. This has increased the scope and clinical indications of using these devices. As patients with congenital heart disease (CHD) comprise majority of these patients requiring devices, the knowledge of indications, pacing leads and devices, anatomical variations and the technical skills required are different than that required in the adult population. In this review we attempt to discuss these specific points in detail to improve the understanding of cardiac pacing in children and young adults.

Keywords: ICDs; Pacemakers; congenital heart defects; pacing; pediatrics.

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Figures

Figure 1
Figure 1
Dual chamber pacemaker lead implantation in a patient with left SVC without a bridging vein.
Figure 2
Figure 2
Use of an ICD coil in the left axillary vein in a patient with right sided generator implant to lower the DFTs. The atrial lead is in the posterior high right atrial septum near the Bachmann's bundle.
See this image and copyright information in PMC

References

    1. Lagergren H, et al. How it happened: my recollection of early pacing. PACE. 1978;1:140. - PubMed
    1. Czosek RJ, et al., editors. Cardiac rhythm devices in the pediatric population: utilization and complications. Heart Rhythm. 2012;9:199. - PubMed
    1. Epstein AE, et al. ACC/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the ACC/AHA/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices) developed in collaboration with the American Association for Thoracic Surgery and Society of Thoracic Surgeons. J Am Coll Cardiol. 51;2008:e1. - PubMed
    1. Walsh EP, et al. Arrhythmias in adult patients with congenital heart disease. Circulation. 2007;115:534. - PubMed
    1. Silka MJ, et al. A population-based prospective evaluation of risk of sudden cardiac death after operation for common congenital heart defects. J Am Coll Cardiol. 1998;32:245. - PubMed

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