Cardiac implantable electronic devices

Abstract

A 93-year-old man with a history of complete heart block presented to the anesthesia preoperative assessment clinic 1 day prior to a transurethral resection of the prostate (TURP) for benign prostatic hyperplasia. He had a dual-chamber pacemaker for an unknown period of time. He was unaware of when the device was last interrogated. The medical notes indicated that the generator had been replaced 7 years prior to this visit. He had longstanding hypertension, glaucoma, and back pain. As expected, he led a very sedentary lifestyle, and mobility was limited. Metabolic equivalent capability was estimated at no greater than 2.5, i.e., not capable of anything greater than the activities of daily living.