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PO-03-164 INCIDENCE, PREDICTORS, AND INDICATIONS FOR PERMANENT PACEMAKER IMPLANTATION AFTER ORTHOTOPIC HEART TRANSPLANTATION

HeartRhythm

Cardiac arrhythmias are often encountered in orthotopic heart transplantation (OHT) recipients due to multiple risk factors and may lead to the necessity of permanent pacemaker implantation(PPI). Ischemic time > 4 hours has been associated with graft dysfunction.

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Arrhythmias in children undergoing orthotopic heart transplantation

Frontiers in Cardiovascular Medicine

Introduction Heart transplantation (HT) is the only treatment option in children with heart failure secondary to cardiomyopathies and non-reparable congenital heart diseases. Three patients developed symptomatic sinus node dysfunction at 18, 25, and 38 days and received permanent pacemakers. months (IQR: 13.13–111.87),

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Heart Transplant, CIED Implant, and Mortality

HeartRhythm

1 Our interest was due in part to our prior work examining the stability of indices of pacemaker function and need for continued pacing among orthotopic heart transplant (OHT) patients, which included a time period during which the bi-atrial anastomosis technique was still being performed at our institution.2

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Author’s Reply to Heart Transplant, CIED Implant and Mortality

HeartRhythm

Wimmer et al regarding our article “Need for cardiac implantable electronic devices and long-term follow-up in recipients of orthotopic heart transplants”. The question of pacemakers and impact on survival in orthotopic heart transplant patients is thus far unanswered.1

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Outcome of Cardiac Implantable Electronic Devices in Pediatric Heart Transplant Recipients

HeartRhythm

Among pediatric patients undergoing orthotopic heart transplantation (OHT), 1-12% are reported to need a permanent pacemaker (PPM).1 We studied a multi-institutional cohort of pediatric OHT recipients who received cardiac implantable electronic devices (CIED) after transplantation to explore the outcome.

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Incidence and Long-Term Follow-up of Cardiac Implantable Electronic Devices Among Orthotopic Heart Transplant Patients

HeartRhythm

Cardiac pacemaker implantation after orthotopic heart transplantation declined dramatically after development of the bicaval anastomosis technique. However, much less is known about the rate, indications, and predictors of device implantations with current surgical technique.

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Is more, more when it comes to pacing in heart transplant patients?

HeartRhythm

In this issue of Heart Rhythm, Gowani, et al. ask us to reflect on a subset of 399 consecutive patients who underwent bicaval anastomotic orthotopic heart transplantation at their institution from 1991-2017, of which 31 (8%) received cardiac electronic implantable devices (CIEDs). (1)