COR | Recommendations |
LOE | References |
---|---|---|---|
Postoperative Atrioventricular Block | |||
I | Permanent pacemaker implantation is indicated for postoperative advanced second- or third-degree AV block that persists for at least 7–10 days after cardiac surgery. | B-NR | [21,22] |
I | Permanent pacemaker implantation is indicated for late-onset advanced second- or third-degree AV block especially when there is a prior history of transient postoperative AV block. | C-LD | [23] |
IIb | Permanent pacemaker implantation may be considered for unexplained syncope in patients with a history of transient postoperative advanced second- or third-degree AV block. | C-LD | [24,25] |
IIb | Permanent pacemaker implantation may be considered at <7 postoperative days when advanced second- or third-degree AV block is not expected to resolve due to extensive injury to the cardiac conduction system. | C-EO | |
IIb | Permanent pacemaker implantation may be considered in select patients with transient postoperative advanced second- or third-degree AV block who are predisposed to progressive conduction abnormalities (see text). | C-EO |