title: [Pacemaker therapy in children].
abstract: Between 1975 and June 1987 55 children underwent first permanent pacemaker (PM) implantation. The patients' age at time of implantation ranged between 1 month and 17 1/2 years (mean 5 5/12 years). In all cases - except a 17 years old girl who received a transvenous endocardial lead - only epicardial screw-in electrodes were used. Only VVI-PM have been implanted. In 84% the indication for implantation was post-surgical brady-arrhythmia, in 16% it was an inborn or acquired disturbance of the conducting system. With our patients we have a survey of 2603 months of PM implantation. During this period 14 children underwent totally 20 revisions, in 50% the electrode was the cause of failure. The interval between two revisions calculated as a quotient from months of PM implantation and number of revisions has increased significantly during the last years and amounts now to 130 months. The relative low incidence of revisions is in our opinion mostly related to the nearly exclusive use of epicardial leads.
authors.affiliation: Abt. f. pädiatrische Kardiologie der Univ.-Kinderklinik Tübingen.
authors.forename: G
authors.initials: G
authors.lastname: Brüggemann
authors.forename: E
authors.initials: E
authors.lastname: Steil
authors.forename: H
authors.initials: H
authors.lastname: Barth
authors.forename: C
authors.initials: C
authors.lastname: Huth
authors.forename: J
authors.initials: J
authors.lastname: Apitz
mesh_terms: D000293:Adolescent; D001145:Arrhythmias, Cardiac / Q000209:etiology / Q000628:therapy; D002648:Child; D002675:Child, Preschool; D004868:Equipment Failure; D005260:Female; D006330:Heart Defects, Congenital / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D010138:Pacemaker, Artificial; D011183:Postoperative Complications / Q000628:therapy
vernacular_title: Schrittmacher-Therapie im Kindesalter.