Daily bedside electrophysiological testing following surgery for the WPW syndrome. Pacing Clin Electrophysiol 1990 Mar;13(3):293-301
Date
03/01/1990Pubmed ID
1690402DOI
10.1111/j.1540-8159.1990.tb02043.xScopus ID
2-s2.0-0025111729 (requires institutional sign-in at Scopus site) 5 CitationsAbstract
A simple technique is described that allows daily bedside evaluation of the results of surgery for the Wolff-Parkinson-White (WPW) syndrome, using standard postoperative myocardial wires, a single-channel ECG machine, and a temporary pacer capable of rapid stimulation. Rate incremental atrial and ventricular ramp pacing was performed daily in 40 postoperative WPW patients. This technique, together with underdrive pacing in some individuals permits quick assessment of anterograde and retrograde conduction. Two surgical failures were identified in early postoperative days, and promptly returned to the operating room for successful reoperation. No additional failures were identified at formal predischarge electrophysiological testing or following discharge. The technique permits reassurance on a daily basis to apparent successes and early identification in the event of failure, permitting prompt intervention.
Author List
Fisher JD, Kim SG, Ferrick KJ, Roth JA, Brodman RFAuthor
James A. Roth MD Associate Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Arrhythmias, CardiacCardiac Pacing, Artificial
Electrocardiography
Electrophysiology
Heart Atria
Heart Conduction System
Heart Ventricles
Humans
Postoperative Care
Wolff-Parkinson-White Syndrome