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Emergent transvenous cardiac pacing in the emergency department: a case series

PUBLISHED April 01, 2024 (DOI: https://doi.org/10.54985/peeref.2404p3099701)

NOT PEER REVIEWED

Authors

Renaldo Pavrey1 , Sonal Raj1 , Nisha Das1
  1. Nanavati Max Super Speciality Hospital, Mumbai

Conference / event

EMCON 2023: 25th Annual National Conference of Society for Emergency Medicine India, October 2023 (Hyderabad, India)

Poster summary

Trans-venous cardiac pacing is potentially life-saving. It involves two components: Obtaining a central venous access, and intra-cardiac placement of a pacing wire. This case study describes our experience with trans-venous catheter placement in a small series of patients who needed emergent temporary cardiac pacing in the Emergency Department (ED). We attempt to answer the pressing question: Does a trained Emergency Physician (EP) in a structured ED with the skills to perform a trans-venous cardiac pacing make a difference?

Keywords

Transvenous pacing, Emergency department, Emergency medicine, Brady-arrhythmias, Resuscitation

Research areas

Biological Sciences, Medicine

References

  1. Kaushik V, Leon AR, Forrester JS Jr, Trohman RG. Bradyarrhythmias, temporary and permanent pacing. Crit Care Med 2000; 28:N121–8.
  2. Duarte T, Gonçalves S, Sá C, Marinheiro R, Fonseca M, Farinha J, et al. Permanent cardiac pacing for patients with iatrogenic or potentially reversible bradyarrhythmia. Rev Port Cardiol 2019; 38:105–11.
  3. Dreifus LS, Michelson EL, Kaplinsky E. Bradyarrhythmias: clinical significance and management. J Am Coll Cardiol 1983; 1:327–38.
  4. Knudsen MB, Thøgersen AM, Hjortshøj SP, Riahi S. The impact of drug discontinuation in patients treated with temporary pacemaker due to atrioventricular block. J Cardiovasc Electrophysiol 2013; 24:1255–8.
  5. Harikrishnan P, Gupta T, Palaniswamy C, Kolte D, Khera S, Mujib M, et al. Complete heart block complicating ST-segment elevation myocardial infarction: temporal trends and association with in-hospital outcomes. JACC Clin Electrophysiol 2015; 1:529–38.
  6. Farkas JD, Long B, Koyfman A, Menson K. BRASH Syndrome: Bradycardia, renal failure, AV blockade, shock, and hyperkalemia. J Emerg Med 2020; 59:216–23.

Funding

No data provided

Supplemental files

No data provided

Additional information

Competing interests
No competing interests were disclosed.
Data availability statement
The datasets generated during and / or analyzed during the current study are available from the corresponding author on reasonable request.
Creative Commons license
Copyright © 2024 Pavrey et al. This is an open access work distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Pavrey, R., Raj, S., Das, N. Emergent transvenous cardiac pacing in the emergency department: a case series [not peer reviewed]. Peeref 2024 (poster).
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