Author + information
- Received September 22, 1982
- Revision received December 13, 1982
- Accepted December 17, 1982
- Published online May 1, 1983.
- Paul C. Gillette, MD, FACC*,
- Cathleen Shannon, RN,
- Arthur Garson Jr., MD, FACC,
- Co-Burn J. Porter, MD,
- David Ott, MD, FACC,
- Denton A. Cooley, MD, FACC and
- Dan G. McNamara, MD, FACC
- ↵*Address for reprints: Paul C. Gillette, MD, Texas Children's Hospital, Pediatric Cardiology, 6621 Fannin, Houston, Texas 77030.
The sick sinus syndrome is being recognized with increasing frequency in children. Although it is sometimes benign, it can be serious or have fatal consequences. Fifty-one patients (mean age 10.5 years) underwent permanent cardiac pacing for sick sinus syndrome. Twenty patients had epicardial ventricular pacing and 12 had an epicardial atrial implant. Seven had endocardial atrial pacing, six epicardial atrioventricular (AV) sequential pacing, four epicardial universal pacing and two endocardial universal pacing.
Of the 49 symptomatic patients, 45 had relief of symptoms. Eleven of 18 patients with associated tachyarrhythmias had amelioration of their tachycardia. There were no early but two late deaths unrelated to the pacemakers. Seven patients during a mean follow-up period of 26 months required reoperation for pacing lead or sensing problems. Permanent pacing for sick sinus syndrome in children is a safe and symptomatically effective procedure.
This study was supported in part by four grants from the National Institutes of Health, Bethesda, Maryland: General Clinic Research Branch Grant RR-00188, U.S. Public Health Service Grant HL-07190, Research Career Development Award HL-00571 (Dr. Gillette) and Young Investigator Award HL-24916 (Dr. Garson); also by a grant from the J. S. Abercrombie Foundation, Houston, Texas
- Received September 22, 1982.
- Revision received December 13, 1982.
- Accepted December 17, 1982.
- American College of Cardiology Foundation