Intra-operative arrhythmia predicts post-operative arrhythmia and the need for temporary pacing wires.

Abstract:

OBJECTIVE:Protocols for the placement of temporary pacing wires vary among institutions. Our current protocol is to selectively place temporary pacing wires in those patients who develop haemodynamically significant intra-operative arrhythmia. We wished to identify how effective our current protocol is at identifying who will develop post-operative arrhythmia and need temporary pacing wires. METHODS:The charts of 880 patients over 8 years who underwent cardiopulmonary bypass were reviewed to find patients who developed intra-operative arrhythmia, had temporary pacing wires placed, and whether or not they developed post-operative arrhythmia and required utilisation of the pacing wires. RESULTS:A total of 87 (9.9%) out of 880 patients who required cardiopulmonary bypass over 8 years had intra-operative arrhythmia and had temporary pacing wires placed. Of these, 59 (67.8%) had post-operative arrhythmia and utilised the pacing wires, whereas 28 (32.2%) did not have post-operative arrhythmia or utilise the pacing wires. In all, seven patients who did not have intra-operative arrhythmia or temporary pacing wires placed developed post-operative arrhythmia. CONCLUSION:Intra-operative arrhythmia is predictive of post-operative arrhythmia (70.2%) and our protocol is a sensitive means of identifying those who will develop post-operative arrhythmia (89.3%).

journal_name

Cardiol Young

journal_title

Cardiology in the young

authors

Piggott K,Nehgme R,Decampli W,Pourmoghadam K,Fakioglu H,Blanco C

doi

10.1017/S1047951114000043

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

454-8

issue

3

eissn

1047-9511

issn

1467-1107

pii

S1047951114000043

journal_volume

25

pub_type

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