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Abstracts |

Therapy of Symptomatic Complete Heart Block in Man: Epicardial Versus Endocardial Pacemakers.

Regis W. Stafford, M.D.; Charles V. Meckstroth, M.D.; Richard Goodwin, M.S.; and Charles F. Wooley, M.D., F.A.C.P.
Ann Intern Med. 1968;68(5):1163. doi:10.7326/0003-4819-68-5-1163_1
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Permanent endocardial pacemaker offers an alternative approach to epicardial pacemaker implantation in the elderly patient with symptomatic complete heart block. This report compares the clinical course of patients with transthoracic pacemakers (TTP) versus patients with transvenous pacemakers (TVP).

In 47 patients with TTPs, average age 65, there were 5 postoperative deaths. In 42 patients followed up to 53 months, major multiple complications occurred in 12 patients (29%): wire fracture (8), runaway pulse generator (2), battery exposure (2), and epicardial fibrosis (1). TVPs were implanted in 2 patients for wire fractures. There were 5 late deaths, 1 due to pacemaker failure.


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