COR | Recommendations |
LOE | References |
---|---|---|---|
Post Cardiac Transplantation | |||
I | Permanent pacing is indicated for persistent symptomatic bradycardia that is not expected to resolve and for other class I indications for permanent pacing. | C-LD | [5,29] |
IIa | Permanent pacing is reasonable for marked chronotropic incompetence impairing the quality of life late in the post-transplant period. | C-LD | |
IIb | Permanent pacing may be considered when relative bradycardia is prolonged, recurrent, or limits rehabilitation or discharge after postoperative recovery from cardiac transplantation. | C-LD | [29] |
IIb | Permanent pacing may be considered for any degree of AV block considered to be due to graft vasculopathy. | C-LD | [30] |