Augmentation of cardiac output by external cardiac pacing: pacemaker-induced CPR.
Transthoracic cardiac pacing is frequently associated with simultaneous stimulation of skeletal muscle and nerves. We describe a patient in cardiogenic shock and complete heart block in whom the associated vigorous abdominal and chest muscle contractions caused by transthoracic cardiac pacing resulted in a marked augmentation of cardiac output and systemic blood pressure via a "CPR" effect.
Murdock
D K
DK
Moran
J F
JF
Speranza
D
D
Loeb
H S
HS
Scanlon
P J
PJ
D000368:Aged; D001794:Blood Pressure; D002302:Cardiac Output; D005260:Female; D006323:Heart Arrest / Q000628:therapy; D006327:Heart Block / Q000628:therapy; D006801:Humans; D009203:Myocardial Infarction / Q000628:therapy; D010138:Pacemaker, Artificial; D012151:Resuscitation; D012770:Shock, Cardiogenic / Q000628:therapy*