How does patient pathology affect the perioperative management of permanent pacemakers (PPMs) and automatic implantable cardioverter-defibrillators (AICDs)?

Updated: Oct 29, 2018
  • Author: Albert H Tsai, MD; Chief Editor: Sheela Pai Cole, MD  more...
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Determining the patient’s underlying electrophysiologic pathology and the specific indication for CIED implantation is the critical first step in formulating a perioperative management plan. The most common indication for PPM placement is symptomatic bradycardia due to sinoatrial (SA) or atrioventricular (AV) node dysfunction, the etiology of which is vast and beyond the scope of this article. AICDs are indicated in patients who have a history of—or are at risk for developing—life-threatening tachyarrythmias, most commonly due to structural heart disease or dilated cardiomyopathy.

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