August 1, 1997Pacing and Clinical Electrophysiology
Single Pass VDD Pacing in Children and Adolescents
Why the study?
Does the use of standard adult single pass leads for VDD pacing provide reliable atrial synchronous ventricular pacing in growing children with complete heart block?
Population
13 children and adolescents aged 3.7-17.2 years and weighing 13.5-76 kg with complete heart block.
Design
Case_series
Follow-up
3-36 months (mean 17.6 months)
Authors
Discussion
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Member takes
Implication
May support adult single-pass VDD leads in pediatric complete heart block; hypothesis-generating and requires larger prospective confirmation before practice change.
Structured PICO
Does the use of standard adult single pass leads for VDD pacing provide reliable atrial synchronous ventricular pacing in growing children with complete heart block?
P
Population
13 children and adolescents aged 3.7-17.2 years (mean 10.1 years) and weighing 13.5-76 kg (mean 34.8 kg) with complete heart block (7 congenital, 5 surgical, 1 2:1 AV block of unknown cause).
I
Intervention
Standard adult size single pass leads for VDD pacing (Brilliant IMP15Q, Brilliant + IMR15Q, CapSure 5032, and Unipass 425-13) with 4 different generators.
O
Outcome
Maintenance of adequate atrial signals for reliable pacingsurrogate
Reliable atrial synchronous ventricular pacing is feasible and safe in growing children with complete heart block using standard adult single pass leads.
Cite This Study
Rosenthal et al. (1997) studied this question.