Epicardial Pacing to Control Arrhythmias Following Cardiac Surgery

Circulation ◽  
1968 ◽  
Vol 37 (4s2) ◽  
Author(s):  
PAUL D. HARRIS ◽  
JAMES R. MALM ◽  
FREDERICK O. BOWMAN ◽  
BRIAN F. HOFFMAN ◽  
GERARD A. KAISER ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Epicardial Pacing

scholarly journals The unusual journey of a retained epicardial pacing wire

2017 ◽  
Vol 11 ◽  
Author(s):  
Francesca Giacomazzi ◽  
Lorenzo Menicanti ◽  
Massimo Lombardi ◽  
Roberto Tramarin
Keyword(s):  
Cardiac Surgery ◽  
Unusual Case ◽  
Routine Procedure ◽  
Epicardial Pacing

The placement of temporary epicardial pacing wires (EPWs) at the completion of cardiac surgery is a routine procedure in most centres. Complications related to their insertion, removal and retention are infrequent, yet potentially severe, including hemorrhage, tamponade, infection and death. Here, we describe an unusual case of retained temporary EPW migration.

Atrial Electrograms After Cardiac Surgery: Survey of Clinical Practice

2007 ◽  
Vol 16 (4) ◽  
pp. 350-356 ◽  
Author(s):  
Jane N. Miller ◽  
Barbara J. Drew
Keyword(s):  
Cardiac Surgery ◽  
Unknown Origin ◽  
Heart Association ◽  
Convenience Sample ◽  
Nursing Experience ◽  
Electrocardiographic Monitoring ◽  
Cardiac Monitor ◽  
Atrial Electrograms ◽  
Atrial Electrogram ◽  
Epicardial Pacing

Background The American Heart Association 2004 practice standards for electrocardiographic monitoring in hospitals recommend that nurses record an atrial electrogram whenever tachycardia of unknown origin develops in a patient after cardiac surgery. An atrial electrogram can be recorded from atrial epicardial pacemaker wires left in place following surgery. Because surgical practices have changed in recent years (earlier extubation and mobilization, shorter stays), it is unclear whether epicardial wires are still readily available to record an atrial electrogram. Objective To determine current practices in recording atrial electrograms. Methods A convenience sample of nurses subscribing to the American Association of Critical-Care Nurses electronic newsletter was surveyed. Results The sample comprised 247 nurses who worked in an intensive or progressive care unit in which patients were treated after cardiac surgery. Respondents were from 41 states and 139 cities. Nearly 90% of respondents had more than 5 years’ nursing experience; 75% had more than 5 years’ experience caring for patients after cardiac surgery. Although 92.1% of respondents reported that atrial epicardial pacing wires were left in place after cardiac surgery, only 10.2% recorded atrial electrograms often, and more than 30% had never recorded one. Analysis of written comments indicated that atrial electrograms are rarely used. Among nurses who had recorded an atrial electrogram, recordings were made about equally with a standard 12-lead electrocardiography machine and a bedside cardiac monitor. Conclusions Although atrial epicardial pacemaker wires are often available for recording atrial electrograms, few nurses use apical epicardial wires for atrial electrograms to analyze arrhythmias.

Epicardial pacing wires after cardiac surgery: an Irish cross-sectional study

2020 ◽  
Vol 29 (8) ◽  
pp. 476-480
Author(s):  
Niamh Kiely ◽  
Frances O'Brien ◽  
Mary Mooney
Keyword(s):  
Cardiac Surgery ◽  
Cardiopulmonary Bypass ◽  
Aortic Valve ◽  
Best Practice ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Delayed Discharge ◽  
Epicardial Pacing ◽  
Delayed Removal

Background: Temporary epicardial pacing wires are inserted after cardiac surgery. However, there are no international guidelines on which to base best practice regarding wire insertion or removal. Methods: Data were collected on patients following cardiopulmonary bypass and analysed in terms of use, duration of use and complications of pacing wires after surgery. Results: Wires were inserted in 164 of the 167 patients. Most (74%) did not require pacing. Patients were categorised into those who had aortic valve replacement (AVR) (n=42) and those who did not (n=122). Of the AVR group, 26% (n=11) were pacemaker dependent after surgery and 10% (n=4) required permanent pacemakers. Most pacing wires were removed by day 4. The only noted complication was delayed discharge. Conclusion: Unused pacing wires are normally removed on day 4, but for 77 (47%) of patients they remained in place longer. Forty patients (24%) had delayed wire removal because of a policy of wire removal during business hours only. Of these 40 patients, 27 (17% of the 77 with delayed removal) had delayed discharge as a result of our wire removal policy.

scholarly journals Predictors for use of temporary epicardial pacing wires after pediatric cardiac surgery

2012 ◽  
Vol 144 (3) ◽  
pp. 557-562 ◽  
Author(s):  
Punkaj Gupta ◽  
Patricia Jines ◽  
Jeffrey M. Gossett ◽  
Mit Maurille ◽  
Frank L. Hanley ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Pediatric Cardiac Surgery ◽  
Epicardial Pacing

The Use of Atrial Electrograms in the Diagnosis of Supraventricular Dysrhythmias

1992 ◽  
Vol 3 (1) ◽  
pp. 203-208
Author(s):  
Laurel Dziadulewicz ◽  
Rita Lang
Keyword(s):  
Cardiac Surgery ◽  
Atrial Electrograms ◽  
Epicardial Pacing ◽  
Nursing Diagnoses

Temporary epicardial pacing wires are frequently used to perform atrial electrograms in patients after cardiac surgery. This article reviews Einthoven’s triangle and describes a method of obtaining and evaluating atrial electrograms. Examples of specific dysrhythmias and nursing diagnoses relating to atrial wires are also described

scholarly journals Transvenous endocardial pacemaker pacing in thoracoscopic cardiac surgery

2021 ◽  
Author(s):  
Xiangnian Li ◽  
wu zhang ◽  
Yu Xia ◽  
Shengjie Liao ◽  
xiao shen zhang
Keyword(s):  
Heart Rate ◽  
Cardiac Surgery ◽  
Heart Surgery ◽  
Median Sternotomy ◽  
Operation Time ◽  
Perioperative Period ◽  
Perioperative Outcomes ◽  
Significant Difference ◽  
Epicardial Pacing ◽  
Endocardial Pacing

Background: Temporary cardiac pacing is frequently required during heart surgery due to life-threatening complications of arrhythmias. The conventional method of epicardial pacing could have risks such as bleeding and myocardial tears. Transvenous endocardial pacing provides another option. The efficiency of transvenous epicardial and endocardial pacing were compared in this study. Methods: We performed a retrospective study and reviewed medical records in patients who received either thoracoscopic cardiac surgery with transvenous endocardial pacing or median sternotomy with transvenous epicardial pacing between June 2019 and January 2021. Patients were assigned into two groups depending on the surgical type and pacing method. Preoperative patient characteristics and perioperative outcomes were collected. The efficiencies of endocardial and epicardial pacing were compared and analyzed in SPSS. Results: A total of 68 patients were included. Thirty-five (51.5%) patients were in the thoracoscopic cardiac surgery group with transvenous endocardial pacing. Thirty-three (48.5%) patients were in the median sternotomy group with transvenous epicardial pacing. Intensive care unit (ICU) time (p = 0.014), in-hospital duration (p = 0.036), operation time (p = 0.005), and the 24-h drainage volume (p < 0.001) showed significant differences between the two groups. There was no significant difference between the pre- and post-operative heart rate and rhythm compared between two groups. Conclusions: Compared with transvenous epicardial pacing, transvenous endocardial pacing showed no significant differences in heart rate and arrhythmia during the perioperative period. Transvenous endocardial pacing was also associated with better operative measurements.

scholarly journals PREDICTION OF TEMPORARY EPICARDIAL PACING WIRE USE IN CARDIAC SURGERY

2019 ◽  
Vol 35 (10) ◽  
pp. S187
Author(s):  
A. Baghaffar ◽  
C. Cote ◽  
P. Tremblay ◽  
C. Herman
Keyword(s):  
Cardiac Surgery ◽  
Epicardial Pacing
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