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ALL / Cardiology

Pacemakers: temporary

Pacemakers: temporary

Indications for a temporary pacemaker
  • symptomatic/haemodynamically unstable bradycardia, not responding to atropine
  • post-ANTERIOR MI: type 2 or complete heart block
    • post-INFERIOR MI complete heart block is common and can be managed conservatively if asymptomatic and haemodynamically stable
  • trifascicular block prior to surgery

ECG showing pacing spikes secondary to a transvenous temporary pacing wire - e Image used on license from Dr Smith, University of Minnesota
+PassMedicine Notes
Indications for a temporary pacemaker
  • symptomatic/haemodynamically unstable bradycardia, not responding to atropine
  • post-ANTERIOR MI: type 2 or complete heart block
    • post-INFERIOR MI complete heart block is common and can be managed conservatively if asymptomatic and haemodynamically stable
  • trifascicular block prior to surgery


Links
Resuscitation Council UK
👍 14👎 6
2021 Bradycardia algorithm
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