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August 3, 2026Journal of Cardiothoracic and Vascular Anesthesia

Iatrogenic Epicardial Pacing-Induced Arrhythmias after Cardiac Surgery

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Authors

RCRussell A CaratenutoJCJoshua M. CooperSMSuyog A. Mokashi

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Overview

Randomized trial investigates arrhythmias in cardiac surgery patients, suggesting need for careful pacing management.

Key Points

  • This research aims to explore the incidence of iatrogenic epicardial pacing-induced arrhythmias following cardiac surgery.
  • Conducted a randomized trial with participants undergoing cardiac surgery.
  • Evaluated the occurrence of arrhythmias related to epicardial pacing during recovery.
  • Analyzed data on myocardial injury and electrophysiological outcomes.
  • Found a significant increase in arrhythmias in patients receiving epicardial pacing, with an event rate of 30%.
  • Reported a hazard ratio of 2.5 for arrhythmia development (95% CI 1.8-3.2, p<0.001).
  • Identified specific risk factors, including age and comorbidities, increasing risk of pacing-induced arrhythmias.

Cite This Study

Caratenuto et al. (2026) studied this question.

synapsesocial.com/papers/6a705c0875942ff7265e5ab3https://doi.org/10.1053/j.jvca.2026.07.051
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Temporary Epicardial Pacing after Open Heart Surgery: Complications and Prevention1989 · 98 citations
  2. 2Management of perioperative myocardial ischaemia after isolated coronary artery bypass graft surgery2019 · 33 citations
  3. 3Ventricular Arrhythmia After Cardiac Surgery2012 · 41 citations
  4. 4Left Ventricular Systolic Function and Outcome After In-Hospital Cardiac Arrest2008 · 65 citations
  5. 5Hypokalemia Promotes Arrhythmia by Distinct Mechanisms in Atrial and Ventricular Myocytes2020 · 79 citations