[Non-invasive temporary cardiac pacing. Possibilities and limitations].
The non-invasive temporary pacemaker is a reliable and easy method for emergency treatment of asystole or severe bradycardias. Large electrode areas and long pulse width allow a low stimulation threshold (40-60 mA), and so were largely eliminated discomfort resulting from contraction of skeletal muscles and burning pain from stimulation of cutaneous nerves. In our experience, non-invasive pacing was effective in all thirteen patients in whom it was applied, was maintained for a mean time of 30 minutes and then temporary endocardial pacing was performed. In our opinion, this method will be a valid alternative to transvenous pacing, when completely eliminated stimulation of skeletal muscles and cutaneous nerves. It may play a role in the treatment of tachyarrhythmias.
Minutiello
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Regione Marche-Unità Sanitaria Locale n. 20, Divisione di Cardiologia, Ancona.
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001145:Arrhythmias, Cardiac / Q000628:therapy; D002304:Cardiac Pacing, Artificial; D004562:Electrocardiography; D004630:Emergencies; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors
Stimolazione cardiaca temporanea non invasiva. Possibilità e limiti.