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Ann Thorac Surg 1982;33:295-296
© 1982 The Society of Thoracic Surgeons

Articles

Pacemaker Inhibition in Cardiac Surgery

H.I. Hakki, M.D.*, I.P. Goel, M.D., E.D. Mundth, M.D.

From the Department of Cardiothoracic Surgery, Hahnemann Medical College and Hospital, Philadelphia, PA

Accepted for publication March 26, 1981.

* Address reprint requests to Dr. Hakki, Department of Cardiothoracic Surgery, Hahnemann Medical College and Hospital, Philadelphia, PA 19102

We describe a noninvasive method of pacemakei inhibition for patients with pacemakers who are undergoing cardiac operation. It is a simple and effective way to attain complete cessation of electrical and mechanical activity of the pacemaker. Cold cardioplegic techniques are currently used to attain cardiac arrest and myocardial preservation. For patients with permanent pacemakers who require a cardiac operation, the addition of a method of pacemaker inhibition results in a decrease in the potential for myocardial injury and a quiet operative field, which facilitates the surgical techniques.






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