Temporary pacing

2021 ◽  
pp. 306-313
Author(s):  
Bulent Gorenek
Keyword(s):  
Biventricular Pacing ◽  
Sinus Node ◽  
Cardiac Pacing ◽  
Coronary Intervention ◽  
Venous Access ◽  
Term Treatment ◽  
Dual Chamber ◽  
Temporary Pacing ◽  
Percutaneous Coronary ◽  
Life Threatening

Temporary cardiac pacing by electrical stimulation of the heart is indicated as a short-term treatment of life-threatening bradyarrhythmias or tachyarrhythmias. It can be used temporarily until the arrhythmias resolve or as a bridge to permanent pacing. Symptomatic bradycardias needing temporary pacing may occur in acute myocardial infarction, during percutaneous coronary intervention, and in patients with sinus node dysfunction. Temporary pacing can also be useful for terminating or suppressing some types of supraventricular and ventricular arrhythmias. Single-chamber, dual-chamber, or biventricular pacing modes can be used. In haemodynamically compromised patients, dual-chamber pacing is preferred. Ideally, this procedure is performed under fluoroscopy, but electrode catheters can also be inserted without fluoroscopy, with ECG and/or pressure monitoring. Several methods of temporary pacing are available: transvenous, external, and transoesophageal pacing. Transvenous pacing is the most commonly used technique. Although this method is safe and easy, some complications related to venous access or caused by the inserted electrode catheters or by an electrical dysfunction of the pacing device may occur, either during or after the implantation.

Temporary pacing

2018 ◽  
Author(s):  
Bulent Gorenek
Keyword(s):  
Biventricular Pacing ◽  
Sinus Node ◽  
Cardiac Pacing ◽  
Coronary Intervention ◽  
Venous Access ◽  
Term Treatment ◽  
Dual Chamber ◽  
Short Term Treatment ◽  
Temporary Pacing ◽  
Life Threatening

Temporary cardiac pacing by electrical stimulation of the heart is indicated as a short-term treatment of life-threatening bradyarrhythmias or tachyarrhythmias. It can be used temporarily until the arrhythmias resolve or as a bridge to permanent pacing. Symptomatic bradycardias needing temporary pacing may occur in acute myocardial infarction, during percutaneous coronary intervention, and in patients with sinus node dysfunction. Temporary pacing can also be useful for terminating or suppressing some types of supraventricular and ventricular arrhythmias. Single-chamber, dual-chamber, or biventricular pacing modes can be used. In haemodynamically compromised patients, dual-chamber pacing is preferred. Ideally, this procedure is performed under fluoroscopy, but electrode catheters can also be inserted without fluoroscopy, with ECG and/or pressure monitoring. Several methods of temporary pacing are available: transvenous, external, and transoesophageal pacing. Transvenous pacing is the most commonly used technique. Although this method is safe and easy, some complications related to venous access or caused by the inserted electrode catheters or by an electrical dysfunction of the pacing device may occur, either during or after the implantation.

Temporary pacing

2015 ◽  
Author(s):  
Bulent Gorenek
Keyword(s):  
Biventricular Pacing ◽  
Sinus Node ◽  
Cardiac Pacing ◽  
Coronary Intervention ◽  
Venous Access ◽  
Term Treatment ◽  
Dual Chamber ◽  
Short Term Treatment ◽  
Temporary Pacing ◽  
Life Threatening

Temporary cardiac pacing by electrical stimulation of the heart is indicated as a short-term treatment of life-threatening bradyarrhythmias or tachyarrhythmias. It can be used temporarily until the arrhythmias resolve or as a bridge to permanent pacing. Symptomatic bradycardias needing temporary pacing may occur in acute myocardial infarction, during percutaneous coronary intervention, and in patients with sinus node dysfunction. Temporary pacing can also be useful for terminating or suppressing some types of supraventricular and ventricular arrhythmias. Single-chamber, dual-chamber, or biventricular pacing modes can be used. In haemodynamically compromised patients, dual-chamber pacing is preferred. Ideally, this procedure is performed under fluoroscopy, but electrode catheters can also be inserted without fluoroscopy, with ECG and/or pressure monitoring. Several methods of temporary pacing are available: transvenous, external, and transoesophageal pacing. Transvenous pacing is the most commonly used technique. Although this method is safe and easy, some complications related to venous access or caused by the inserted electrode catheters or by an electrical dysfunction of the pacing device may occur, either during or after the implantation.

scholarly journals Percutaneous Closure of Post Myocardial Infarction Ventricular Septal Rupture in an Unstable Hemodynamic State, Using an Unconventional Internal Jugular venous access;

2021 ◽  
Author(s):  
behzad alizadeh ◽  
javad ramezani ◽  
bita zargaran
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Percutaneous Coronary Intervention ◽  
Coronary Intervention ◽  
Venous Access ◽  
Ventricular Septal Rupture ◽  
Chest Discomfort ◽  
Percutaneous Coronary ◽  
Hemodynamic Deterioration ◽  
Hemodynamic State

We report a 56-year-old woman with multiple cardiovascular risk factors who initially present with chest discomfort. She underwent successful primary percutaneous coronary intervention (PCI) on left anterior descending and right coronary artery . Few hours later and after the hemodynamic deterioration of patient,

scholarly journals Effectiveness and safety of primary percutaneous coronary interventions in elderly patients with acute coronary syndrome

2020 ◽  
pp. 14-25
Author(s):  
N.V. Litvinyuk ◽  
◽  
G.V. Matyushin ◽  
A.V. Protopopov ◽  
E.V. Samohvalov ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Elderly Patients ◽  
Coronary Intervention ◽  
Term Treatment ◽  
Age Group ◽  
Average Life Expectancy ◽  
Coronary Syndrome ◽  
Percutaneous Coronary ◽  
Long Term Treatment ◽  
Choice Of Treatment

Primary percutaneous coronary intervention (PPCI) is the gold standard of treating patients with acute coronary syndrome (ACS). The results of major clinical trials on ACS patients’ treatment are reflected in modern guidelines, where PPCI is of high evidence level and is superior to conservative therapy in long-term treatment results. Treatment of elderly patients over 75 years old is carried due to modern clinical guidelines, even though few patients of this age group are included in the studies. The increase in population average life expectancy causes the increase in number of elderly ACS patients with comorbid pathology. In its turn, it affects both the choice of treatment tactics and PPCI volume. Therefore, a study of this age group is required. The present review reflects the main clinical studies and analysis of elderly patients’ treatment

Cardiovascular problems

2017 ◽  
Author(s):  
Sheila Adam ◽  
Sue Osborne ◽  
John Welch
Keyword(s):  
Heart Disease ◽  
Cardiac Pacing ◽  
Coronary Intervention ◽  
Diagnostic Techniques ◽  
Critically Ill Patient ◽  
Interventional Treatment ◽  
Pulmonary Artery Catheterization ◽  
Non Invasive ◽  
Percutaneous Coronary ◽  
Assessment And Treatment

The cardiovascular chapter discusses the physiology, assessment, and treatment of cardiovascular disorders in the critically ill patient. It gives an in-depth explanation of non-invasive and invasive monitoring procedures (such as ECG, pulse oximetry, oesophageal Doppler, and pulmonary artery catheterization). It includes the measurement of oxygen delivery and consumption, and explains diagnostic techniques such as echocardiography. The chapter includes the management and optimization of goal-directed therapies for specific conditions including coronary heart disease (such as myocardial infarction and angina), shock, valvular heart disease, and heart failure. Interventional treatment and specific drug therapy are discussed, including percutaneous coronary intervention, cardiac pacing, and electrical conversion.

scholarly journals Resistant Ventricular Arrhythmia and the Role of Overdrive Pacing in the Suppression of the Electrical Storm

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Mohamed Magdi ◽  
Mahmood Mubasher ◽  
Hakam Alzaeem ◽  
Tahir Hamid
Keyword(s):  
Myocardial Infarction ◽  
Ventricular Arrhythmia ◽  
Ventricular Arrhythmias ◽  
Coronary Intervention ◽  
Electrical Storm ◽  
Electrical Instability ◽  
Percutaneous Coronary ◽  
Life Threatening ◽  
Overdrive Pacing ◽  
Antiarrhythmic Medications

Ventricular arrhythmia storm is a state of cardiac instability characterized by multiple ventricular arrhythmias or multiple ICD therapies within a 24-hour duration. Management of this life-threatening state depends on the reversal of the cause besides either electrical or medical management of the arrhythmia. We report a case of a 54-year-old male who underwent a percutaneous coronary intervention following massive acute myocardial infarction. Afterwards, he developed frequent life-threatening ventricular arrhythmias that required multiple shocks and antiarrhythmic medications. Despite all these interventions, it was very difficult to control the electrical instability, but after overdrive ventricular pacing, the storm subsided and within a few days the case was stabilized. Overdrive pacing is an easy temporary modality to control the resistant arrhythmia following myocardial infarction.

scholarly journals Management of Percutaneous Coronary Intervention Complications

2020 ◽  
Vol 13 (6) ◽  
Author(s):  
Jacob A. Doll ◽  
Ravi S. Hira ◽  
Kathleen E. Kearney ◽  
David E. Kandzari ◽  
Robert F. Riley ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Early Recognition ◽  
High Volume ◽  
Coronary Intervention ◽  
Complication Management ◽  
Extensive Experience ◽  
Total Occlusion ◽  
Percutaneous Coronary ◽  
Life Threatening ◽  
Systematic Response

Complications of percutaneous coronary intervention (PCI) may have significant impact on patient survival and healthcare costs. PCI procedural complexity and patient risk are increasing, and operators must be prepared to recognize and treat complications, such as perforations, dissections, hemodynamic collapse, no-reflow, and entrapped equipment. Unfortunately, few resources exist to train operators in PCI complication management. Uncertainty regarding complication management could contribute to the undertreatment of patients with high-complexity coronary disease. We, therefore, coordinated the Learning From Complications: How to Be a Better Interventionalist courses to disseminate the collective experience of high-volume PCI operators with extensive experience in chronic total occlusion and high-risk PCI. From these conferences in 2018 and 2019, we developed algorithms that emphasize early recognition, effective treatment, and team-based care of PCI complications. We think that an algorithmic approach will result in a logical and systematic response to life-threatening complications. This construct may be useful for operators who plan to perform complex PCI procedures.

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