Permanent Endocardial Pacing in Complete Heart Block
Authors: J. WARREN HARTHORNE
Journal: Annals of Internal Medicine (1967)

Article1 May 1967Permanent Endocardial Pacing in Complete Heart BlockAssessment of the Technique and the Advantages in 20 PatientsJ. WARREN HARTHORNE, M.D., F.A.C.P., W. GERALD AUSTEN, M.D., HOWARD CORNING, M.D., JOSEPH J. MCNAMARA, M.D., CHARLES A. SANDERS, M.D.J. WARREN HARTHORNE, M.D., F.A.C.P.Search for more papers by this author, W. GERALD AUSTEN, M.D.Search for more papers by this author, HOWARD CORNING, M.D.Search for more papers by this author, JOSEPH J. MCNAMARA, M.D.Search for more papers by this author, CHARLES A. SANDERS, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-66-5-831 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe prevalence of symptomatic complete heart block is not known but appears to be increasing with prolongation of life expectancy. Heart block is one of the more common disorders of the heartbeat and is exceeded in frequency only by atrial fibrillation, premature beats, and paroxysmal atrial tachycardia (1). The prognosis with medical treatment varies according to the underlying cause, with an average duration of life after discovery of from 2.5 to 7 years (2, 3). In a series of 100 cases reported by Friedberg, Donoso, and Stein (4) the mortality at the end of 1 year was 50% with an...References1. FRIEDBERG CK: Diseases of the Heart, 3rd ed. W. B. Saunders Co., Philadelphia, 1966, p. 586. Google Scholar2. CAMPBELL M: Complete heart block. Brit. Heart J. 6: 69, 1944. CrossrefMedlineGoogle Scholar3. PENTONMILLERLEVINE GBHSA: Some clinical features in complete heart block. Circulation 13: 801, 1956. CrossrefMedlineGoogle Scholar4. FRIEDBERGDONOSOSTEIN CKEWG: Nonsurgical acquired heart block. Ann. N. Y. Acad. Sci. 111: 835, 1964. CrossrefMedlineGoogle Scholar5. 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CrossrefMedlineGoogle Scholar18. DONMOYERDESANCTISAUSTEN TRWWG: Experience with pacemakers using myocardial electrodes in the management of heart block. Ann. Thorac. Surg. In press. Google Scholar19. LAGERGRENJOHANSSONLANDEGRENEDHAG HLJO: One hundred cases of treatment for Adams-Stokes syndrome with permanent intravenous pacemaker. J. Thorac. Cardiov. Surg. 50: 710, 1965. CrossrefMedlineGoogle Scholar20. HARRISBLUESTONEBUSBYDAVIESLEATHAMSIDDONSSOWTON AREGAHE: The management of heart block. Brit. Heart J. 27: 469, 1965. CrossrefMedlineGoogle Scholar21. DRESSLER W: Observations in patients with implanted pacemaker. Amer. Heart J. 68: 19, 1961. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Boston, MassachusettsFrom the Departments of Medicine and Surgery, Harvard Medical School, and the General Medical and Surgical Services, Massachusetts General Hospital, Boston, Mass.This study was supported in part by grants HE-06664 (HEPP), HE-08021, HE-08898, and HE-5196, U. S. Public Health Service, Washington, D. C.At the time of this study Dr. Corning was a Clinical and Research Fellow in Medicine, Massachusetts General Hospital, and a Teaching Fellow in Medicine, Harvard Medical School.Requests for reprints should be addressed to J. Warren Harthorne, M.D., Cardiac Catheterization Laboratory, Massachusetts General Hospital, Boston, Mass. 02115. Nextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byCardiac pacing and pacemakers V. Technical aspects of implantation and equipmentUse of the permanent transvenous pacemaker in 168 consecutive patientsTemporary Cardiac Pacing: Technique and IndicationsSuperior vena caval anomaly preventing pervenous pacemaker implantation.CLINICAL RESULTS OF TRANSVENOUS PACINGThrombus Formation on a Transvenous Pacemaker ElectrodeCatheter Extrusion with Infection Complicating Permanent Endocardial PacingEpicardial Versus Endocardial PacemakersThe Migrating ElectrodeRetained endocardial pacemaker electrodes 1 May 1967Volume 66, Issue 5Page: 831-837KeywordsHospital medicineLife expectancyMedical servicesMortalityOintmentsPacemakersParoxysmal atrial tachycardiaSedationSyncopeThoracic surgery Issue Published: 1 May 1967 Copyright & PermissionsCopyright ©, 1967, by The American College of PhysiciansPDF downloadLoading ...