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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1992-1-13
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pubmed:abstractText |
The data from 50 permanently paced children [mean standard deviation follow-up 5.3 +/- 3.7 years] were reviewed, with special attention being paid to the cause of complications and the efficacy of follow-up. The 5-year survival (SD) of the patients was 78 +/- 6%; mortality was mainly due to the underlying cardiac disease. The 5-year survival (SD) of the pacing systems was 48 +/- 8%. Surgical interventions were necessary every 4.9 patient years. Of these interventions, 58% were caused by lead-related problems. Epicardial leads showed significantly more exit blocks and high thresholds than endocardial leads. Endocardial leads, therefore, should be used at a younger age than is now the current practice, from 5 years of age onwards, for example. If epicardial leads are used, the pacemaker must have a high output facility. Since exit block occurred only within the first 3 months after implantation, we suggest frequent transtelephonic monitoring during the first 3 months. Holter monitoring appeared to be the most effective and sensitive method of detecting malsensing and should be performed regularly.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0167-5273
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
33
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
207-14
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pubmed:dateRevised |
2006-7-12
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pubmed:meshHeading |
pubmed-meshheading:1743780-Adolescent,
pubmed-meshheading:1743780-Cardiac Pacing, Artificial,
pubmed-meshheading:1743780-Child,
pubmed-meshheading:1743780-Child, Preschool,
pubmed-meshheading:1743780-Equipment Design,
pubmed-meshheading:1743780-Equipment Failure,
pubmed-meshheading:1743780-Follow-Up Studies,
pubmed-meshheading:1743780-Heart Block,
pubmed-meshheading:1743780-Humans,
pubmed-meshheading:1743780-Infant,
pubmed-meshheading:1743780-Netherlands,
pubmed-meshheading:1743780-Pacemaker, Artificial,
pubmed-meshheading:1743780-Postoperative Complications,
pubmed-meshheading:1743780-Reoperation,
pubmed-meshheading:1743780-Survival Analysis,
pubmed-meshheading:1743780-Survival Rate
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pubmed:year |
1991
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pubmed:articleTitle |
Permanent cardiac pacing in children: morbidity and efficacy of follow-up.
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pubmed:affiliation |
Division of Paediatric Cardiology, University of Groningen, The Netherlands.
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pubmed:publicationType |
Journal Article
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