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Twenty-six children who had permanent pacemakers implanted at 6 hours to 11 years of age have been followed for up to 163 months. There were 14 children with surgical heart block, 9 with congenital heart block, 2 with postcatheterization complete heart block, and 1 with bradytachydysrhythmia syndrome. Eighteen of the 26 patients (69%) are still being paced with their original electrodes, some for more than eight years. Sixty pulse generators lasted an average of 17 months (range, 1 to 55 months). Five of the 26 patients (19%) are dead. Three died of noncorrectable heart disease, but there were 2 sudden unexplained deaths at home, both apparently due to sudden arrhtthmias. Both of these patients had received fixed-rate pulse generators, and 1 had a known potential for competing rhythms. The current optimal choices of equipment and techniques, including the role of synchronized, demand, lithium-powered, and nuclear-powered pulse generators, are discussed.
R P Shearin, and
W H Fleming
January 1967,
Canadian Medical Association journal,
R P Shearin, and
W H Fleming
May 1969,
British heart journal,
R P Shearin, and
W H Fleming
December 1999,
Pacing and clinical electrophysiology : PACE,
R P Shearin, and
W H Fleming
November 1994,
Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke,
R P Shearin, and
W H Fleming
May 1970,
Deutsche medizinische Wochenschrift (1946),
R P Shearin, and
W H Fleming
July 1969,
The Journal of the Arkansas Medical Society,
R P Shearin, and
W H Fleming
January 1976,
Meditsinskaia tekhnika,
R P Shearin, and
W H Fleming
September 1977,
Zeitschrift fur arztliche Fortbildung,
R P Shearin, and
W H Fleming
December 1981,
Boletin de la Asociacion Medica de Puerto Rico,
R P Shearin, and
W H Fleming
April 1975,
Der Internist,
