DOI: 10.36347/sasjs.2021.v07i02.020

Pages: 107-111

Background: Epicardial wires allow temporary pacing after cardiac surgery. Pacing is often the best, and sometimes the only method of treating temporary rhythm disturbances in this context. Temporary epicardial pacing has evolved from simple one-chamber systems to dual chamber, biatrial, and even biventricular systems.Temporary wires are routinely sutured to atrial and/or ventricular epimyocardium after open heart surgery. Despite the common problems of poor sensing or capture, dislodgement or retention, no criteria exists for proper placement or removal. This report describes clinical complications due to: failure of ventricular sensing, failure of ventricular capture, bleeding from right ventricular laceration with tamponade. Appropriate placement of temporary wires for optimum function requires 2-cm electrode separation, application into both atrium and ventricle with a gentle redundant loop to exit near the midline, avoiding both coronary arteries and coronary artery bypass grafts. Gentle traction for removal is recommended on the day prior to discharge, especially for patients on antiplatelet or anticoagulant therapy. Aim: Evaluation of complication and to prevent complicatiom in temporary epicardial pacing after open heart Surgery in Bangladesh. Method: This observational descriptive study was conducted in Ibrahim Cardiac Hospital & Research Institute, Dhaka, Bangladesh on 200 patients received temporary epicardial pacing treatment during the period from January 2018 to December 2019. Result: The study population was 200. The highest 123(61.5%) were age group between 60 years to 69 years. The study found 126(63.0%) were Male and 74(37.0%) were Female. The study population of postoperative complications of temporary epicardial pacing open heart surgery was 20. The highest 11(55.0%) were Failure of ventricular sensing with resultant VT/VF. Conclusion: Epicardial pacing set and check properly at the right time and beware while opening it. We hope there...........