[Insertion of catheter for temporary transvenous ventricular pacing at prehospital scene after sudden malfunction of pacemaker].
A 70-year-old patient who had been fitted with a pacemaker for 27 years consulted his cardiologist to check the latest device, which had been changed in 1998. During the examination there was a sudden malfunction of the pacemaker, which became uncontrollable, resulting in an escape rhythm of 15 beats/min and circulatory insufficiency. Attempted treatment by isoprénaline and external transcutaneous systolic stimulation failed, and an intraventricular catheter was therefore positioned successfully as an emergency prehospital manoeuvre. This produced good haemodynamic stability, allowing the transfer of the patient to hospital where his pacemaker was changed.
Incagnoli
P
P
Département d'anesthésie-réanimation, hôpital Necker-Enfants-Malades, 149, rue de Sèvres, 75015 Paris, France. incagnoli@club-internet.fr <incagnoli@club-internet.fr>
Bourgeois
B
B
D000318:Adrenergic beta-Agonists / Q000627:therapeutic use; D000368:Aged; D001145:Arrhythmias, Cardiac / Q000209:etiology / Q000628:therapy; D006328:Cardiac Catheterization; D002304:Cardiac Pacing, Artificial; D004599:Electric Stimulation Therapy; D004632:Emergency Medical Services; D004868:Equipment Failure; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D007545:Isoproterenol / Q000627:therapeutic use; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D019919:Prosthesis Implantation; D012769:Shock / Q000209:etiology; D016276:Ventricular Function
D000318:Adrenergic beta-Agonists; D007545:Isoproterenol