Singh Harinder R, Batra Anjan S, Balaji Seshadri
The Carman and Ann Adams Department of Pediatrics, Children's Hospital of Michigan.
Indian Pacing Electrophysiol J. 2013 Jan;13(1):4-13. doi: 10.1016/s0972-6292(16)30584-8. Epub 2013 Jan 1.
The population of children and young adults requiring a cardiac pacing device has been consistently increasing. The current generation of devices are small with a longer battery life, programming capabilities that can cater to the demands of the young patients and ability to treat brady and tachyarrhythmias as well as heart failure. This has increased the scope and clinical indications of using these devices. As patients with congenital heart disease (CHD) comprise majority of these patients requiring devices, the knowledge of indications, pacing leads and devices, anatomical variations and the technical skills required are different than that required in the adult population. In this review we attempt to discuss these specific points in detail to improve the understanding of cardiac pacing in children and young adults.
需要心脏起搏装置的儿童和青少年人群一直在持续增加。当前一代的装置体积小、电池寿命长、具有可满足年轻患者需求的编程能力，以及治疗心动过缓和快速心律失常以及心力衰竭的能力。这扩大了使用这些装置的范围和临床适应症。由于先天性心脏病（CHD）患者占这些需要装置的患者的大多数，其适应症、起搏导线和装置、解剖变异以及所需的技术技能方面的知识与成人人群所需的知识有所不同。在本综述中，我们试图详细讨论这些具体要点，以增进对儿童和青少年心脏起搏的理解。
