Lege Artis Medicinae

[Recent aspects of temporary cardiac pacing the atrial stimulation]

SZÉKELY Ádám1, KISS Róbert1

DECEMBER 25, 1991

Lege Artis Medicinae - 1991;1(18)

[„Pacemaker syndrome" is a deterioration of the cardiac function following sometimes ventricular pacing. Atrial pacing is advantageous, that can be used in temporary pacemaker application. Long term (>2 days) temporary atrial pacing was performed in 11 patiens. The aim was the temporary stimulation before the definitive AAI implantation (4), bradyarrhythmia complicating acute myocardial infarction (3) and suppression of the drug resistant dysrhythmias (4 patients). Haemodynamic parameters of the patients with myocardial infarction complicated with bradyarrhythmia and heart failure improved using atrial pacing compared to the ventricular one. Refractory supraventricular arrhythmias and the „torsade de pointes" ventricular ones could be effectively suppressed by rapid continuous atrial pacing. The atrial position of the temporary electrode could mostly be achieved without X-ray control. The risk of the dislocation seemed to be lower using special „J” shaped electrodes. In selected patients the application of the temporary atrial (or AV sequential) stimulation is possibly advantage ous resembling to definitive physiological pacing. ]

AFFILIATIONS

  1. Orvostovábbképző Egyetem Anaesthesiológiai és Intenzív Therápiás Intézet, Budapest

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