Patient with an implantable cardiac electrical stimulation device. What should the anesthesiologist know?

  • Fabio Alejandro Sepúlveda López a. Program of Anesthesia, Universidad Pontificia Bolivariana. Medellín, Colombia. b. IPS Universitaria Clínica León XIII. Medellín, Colombia. c. Hospital San Vicente Fundación. Medellín, Colombia. d. CardioVid Clinic. Medellín, Colombia.
  • Luz María Jiménez Muñoz CardioVid Clinic. Medellín, Colombia.
  • Juan Fernando Agudelo Uribe CardioVid Clinic. Medellín, Colombia.
  • Jorge Alberto Castro Pérez CardioVid Clinic. Medellín, Colombia.
Keywords: Perioperative period, Electrical stimulation therapy, Artificial cardiac pacemaker, Cardiac resynchronization therapy devices, Implantable cardioverter defibrillators


Patients with implantable electric stimulation devices are challenging to the anesthesiologist since these cases demand a comprehensive knowledge about how the device operates, the indications for the implant and the implications that must be addressed during the perioperative period . This article is intended to provide the reader with clear and structured information so that the anesthesiologist will be able to safely deal with the situation of a patient with an implantable cardiac stimulation device, who has been programmed for emergent surgery. A search for the scientific evidence available was conducted in Pubmed / Medline, ScienceDirect, OVID, SciELO), for a non-systematic review. The incidence of the use of cardiac electric stimulation devices has been growing. Their operation is increasingly complex, and demands being constantly updated on the knowledge in the area.


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How to Cite
Sepúlveda López FA, Jiménez Muñoz LM, Agudelo Uribe JF, Castro Pérez JA. Patient with an implantable cardiac electrical stimulation device. What should the anesthesiologist know?. Colomb. J. Anesthesiol. [Internet]. 2021Mar.24 [cited 2022Aug.8];49(4). Available from:


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How to Cite
Sepúlveda López FA, Jiménez Muñoz LM, Agudelo Uribe JF, Castro Pérez JA. Patient with an implantable cardiac electrical stimulation device. What should the anesthesiologist know?. Colomb. J. Anesthesiol. [Internet]. 2021Mar.24 [cited 2022Aug.8];49(4). Available from:
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