Atrial epicardial wires are used after cardiac surgery for diagnostic and therapeutic purposes. Postoperative dysrhythmias may be diagnosed by using an atrial wire electrogram, and treatment of these dysrhythmias includes atrial pacing. In this article atrial pacing during the post-cardiac surgery period is discussed in relation to the management of supraventricular dysrhythmias, bradydysrhythmias, ventricular dysrhythmias, and low cardiac output.
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