Anestesia en Paciente Portador de Marcapasos Cardiaco y ...

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R. ASENJO G. et al.Figura 10. MP DDD: falla de captura en aurícula y ventrículo de 5 s en paciente con FA sometido a CVE.CDI y electrodos, en posición antero-posterior.Debe tenerse en cuenta que luego de la descargapuede haber aumento transitorio del umbral deestimulación (Figura 10), lo que puede generarasistolía en pacientes sin ritmo propio. Esto generalmentedura algunos segundos, pero si semantiene se debe usar MP externo mientras sereprograma el MP.Manejo postoperatorioEl paciente debería estar monitorizado durantetodo el período postoperatorio, hasta que el dispositivohalla sido interrogado y estemos seguros de su buenfuncionamiento, o se hallan restablecido las funcionespreviamente inhabilitadas por efecto de interferenciaselectro-magnéticas, reprogramación o uso del imán.REFERENCIAS1. Hayes DL, Lloyel MA, FriedmanPA. Cardiac Pacing andDefibrillation: a Clinical approach.Futura Publishing Co. 20002. Asenjo R. Dispositivos Cardiacos.Capítulo del libro Enfermedadesdel Corazón y los Vasos (RojasVillegas). Editores. M. Oyonarte,R. Corbalán, E. Escobar y O.Román, Editorial Mediterráneo,2012.3. Sweeney MO, Hellkamp AS,Ellenbogen KA, et al. Adverseeffect of ventricular pacing on heartfailure and atrial fibrillation amongpatients with normal baselineQRS duration in a clinical trial ofpacemaker therapy for sinus nodedysfunction. Circulation 2003; 107:2932-2937.4. Epstein AE, DiMarco JP,Ellenbogen KA, et al. ACC/AHA/HRS 2008 guidelines for devicebasedtherapy of cardiac rhythmabnormalities: a report of theAmerican Collage of Cardiology/America Herat Association TaskForce on Practice Guidelines(Writing Comité to Revise theACC/AHA/NASPE 2002 GuilelineUpdate for Implantation of CardiacPacemakers and AntiarrhythmiaDevices). J Am Coll Cardiol 2008;51: e1-62.5. Asenjo R, Fajuri A, GonzálezR. Indicaciones del Implantede Marcapasos Definitivosy Desfibrilador Automático.Recomendaciones del Comité deEducación Continua de la SociedadChilena de Cardiología y CirugíaCardiovascular. Rev. Chil Cardiol2004; 23: 375-391.. 6. Asenjo R, Cereceda M. Rol de laTerapia de Resincronización Ventricularen el Tratamiento de pacientescon Insuficiencia Cardiaca Avanzada.Rev. Cardiología Clínica 2006;22: 88-93.7. Cleland JG, Daubert J, ErdmannE, et al. The effect of cardiacresynchronization on morbidity andmortality in heart failure. N Engl JMed 2005; 352: 1539-1549.8. Bristow MR, Saxon LA, BoehmerJ, et al. Cardiac resinchronizationtherapy with or without animplantable defibrillator inadvanced chronic heart failure. NEngl J Med 2004; 350: 2140-2150.9. Abraham WT, Young J, LeónA, et al. Effects of cardiacresynchronization on diseaseprogression in patients with leftventricular systolic dysfunction,an indication for an implantablecardioverter-defibrillator, andmildly symptomatic heart failure.Circulation 2004; 110: 2864-2868.10. Montagna R, Asenjo R, MorrisR, Shumacher E, et al. Terapia deResincronización Ventricular enpacientes portadores de marcapasosdefinitivo e insuficiencia cardíacaavanzada. Rev. Chil Cardiol 2005;24: 48-59.11. Moss AJ, Hall WJ, Cannom DS,et al. Improved survival with animplanted defibrillator in patienstswith coronary disease at high riskfor ventricular arrhythmia. N Engl JMed 1996; 335(26): 1933-1940.12. The Antiarrhythmics VersusImplantable Defibrillators (AVID)Investigators. A comparison ofantiarrhythmic-drug therapywith implantable defibrillators inpatients resuscitated from near-fatalventricular arrhythmias. N Engl JMed 1997; 337: 1576-1580.13. Moss AJ, Zareba W, Hall WJ,et al. Prophylactic implantationof a defibrillator in patients withmyocardial infarction and reducedejection fraction. N Engl J Med2002; 346: 877-883.14. Bardy GH, Lee KL, Mark DB, etal. for the Sudden Cardiac Deathin Heart Failure Trial (SCD-HeFT) Investigators. Amiodaroneor an implantable cardioverterdefibrillatorfor congestive heartfailure. N Engl J Med 2005; 352:225-237.15. Asenjo R, Vidaillet H Jr, Hayes JJ.Avances en el tratamiento de las122Rev Chil Anest 2013; 42: 113-123
ANESTESIA EN PACIENTE PORTADOR DE MARCAPASOS CARDIACO Y DESFIBRILADOR IMPLANTABLEtaquiarritmias. Rol de los métodosno farmacológicos. Rev Med Chile1995; 123: 1137-1149.16. Practice Advisory for thePerioperative Management ofPatients with Cardiac ImplantableElectronic Devices: Pacemakersand Implantable Cardioverter-Defibrillators An Updated Reportby the American Society ofAnesthesiologists Task Force onPerioperative Management ofPatients with Cardiac ImplantableElectronic Devices: Anesthesiology2011; 114: 247-261.17. Rozner M. The patient with acardiac pacemaker or implanteddefibrillator and managementduring anaesthesia: CurrentOpinion in Anaesthesiology 2007;20: 261-268.18. Sager DP. Current facts onpacemaker electromagneticinterference and their application toclinical care. Heart Lung 1987; 16:211-221.19. Betra YK, Bali IM. Effect ofcoagulating current and cuttingcurrent on a demand pacemakerduring transurethral resection ofthe prostate. A case report. CanAnaesth Soc J 1978; 25: 65-66.20. Madigan JD, Choudhri AF, ChenJ, et al. Surgical managementof the patient with an implantedcardiac device: implications ofelectromagnetic interference. AnnSurg 1999; 230: 639-647.21. Kazatsker M, Kusniek J, HasdaiD, et al. Two pacemakers in onepatient: a stimulating case. JCardiovasc Electrophysiol 2002;13: 522.22. Rozner M. Pacemakers andimplantable cardioverterdefibrillators. Crit Care Med 2004;32: 1809-1812.23. Bailey AG, Lacey SR.Intraoperative pacemaker failure inan infant. Can J Anaesth 1991; 38:912-913.24. Wong DT, Middleton W.Electrocautery-inducedtachycardiain a rate-responsivepacemaker. Anesthesiology 2001;94: 710-711.25. Chang AC, McAreavey D, TripodiD, Fananapazir L. Radiofrequencycatheter atrioventricular nodeablation in patients with permanentcardiac pacing systems. Pacing ClinElectrophysiol 1994; 17: 65-69.26. Trohman RG, Simmons TW, MooreSL, Firstenberg MS, Williams D,Maloney JD. Catheter ablationof atrioventricular junction usingradiofrequency energy and abilateral cardiac approach. Am JCardiol 1992; 70: 1438-1443.27. Achenbach S, Moshage W, Diem B,Bieberle T, Schibgilla V, BachmannK. Effects of magnetic resonanceimaging on cardiac pacemakers andelectrodes. Am Heart J 1997; 134:467-473.28. Vahlhaus C, Sommer T, LewalterT, Schimpf R, Schumacher B, JungW, Lüderitz B. Interference withcardiac pacemakers by magneticresonance imaging: Are thereirreversible changes at 0.5 Tesla?Pacing Clin Electrophysiol 2001;24: 489-495.29. American Society ofAnesthesiologists: Standards forbasic anesthetic monitoring. InASA Standards, Guidelines andStatements, American Society ofAnesthesiologists Publication,October 5-6, 1999.30. Southorn PA, Kamath GS, VasdevGM, Hayes DL. Monitoringequipment induced tachycardia inpatients with minute ventilationrate-responsive pacemakers. Br JAnaesth 2000; 84: 508-509.Correspondencia a:Dr. Carlos Montalván R.cmontalvan@vtr.netRev Chil Anest 2013; 42: 113-123123
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