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What's new in cardiac pacing in children?

Janoušek, Jan; Kubuš, Peter

Current Opinion in Cardiology: January 2014 - Volume 29 - Issue 1 - p 76–82
doi: 10.1097/HCO.0000000000000025
PEDIATRICS: Edited by Victoria L. Vetter

Purpose of review To review and prioritize data on pediatric cardiac pacing published during the period of the last 18 months.

Recent findings New approaches to preservation of ventricular function in pediatric pacing are based on recent publications confirming major influence of the ventricular pacing site on left ventricular (LV) function and synchrony. Current studies on epicardial vs. transvenous pacing continue to show survival superiority of endocardial leads. Long-term outcome of epicardial pacing may, however, be positively influenced by technical refinements. Recent amendments of the guidelines for cardiac resynchronization therapy (CRT) in adult idiopathic and ischemic cardiomyopathy are likely to influence CRT indications in children. Novel data give interesting insights into implantable cardioverter-defibrillator (ICD) lead survival as well as the use of ICDs in young patients with hypertrophic cardiomyopathy.

Summary Pediatric cardiac pacing and ICD therapy is still a developing field likely to improve with technical refinements, proper lead placement and more specific therapy indications. The current review will give the reader information about recent developments and directions for the future.

Children's Heart Centre, University Hospital Motol, Prague, Czech Republic

Correspondence to Jan Janoušek, MD, PhD, Children's Heart Centre, University Hospital Motol, V úvalu 84, 150 06 Prague, Czech Republic. Tel: +420 2 2443 2900; fax: +420 2 2443 2920; e-mail:

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins