Occurrence of an exceptional complication in an attempt to apply temporary pacemaking

Česká verzia

Authors: D. Richter ¹; M. Hutyra ¹; J. Lukl ¹; P. Němec ²
Authors place of work: I. interní klinika Lékařské fakulty UP a FN Olomouc, přednosta prof. MUDr. Jan Lukl, CSc. ¹; Kardiochirurgická klinika Lékařské fakulty UP a FN Olomouc, přednosta doc. MUDr. Petr Němec, CSc. ²
Published in the journal: Vnitř Lék 2007; 53(6): 729-732
Category: Case Reports

Summary

The case study reports the case of a female patient who, during an admission exam in an area medical centre, presented with severe symptomatic bradyarrhythmia and the need for temporary external pacemaking. The first attempt to perform temporary transvenous pacemaking failed and was accompanied by a rare but serious iatrogenic complication which necessitated heart surgery. The case study is completed with illustrative figures.

Key words:
symptomatic bradycardia – presyncope – temporary pacemaking – complication

Zdroje

1. Rajappan K. Temporary cardiac pacing in district general hospitals - sustainable resource or training liability? Q J Med 2003; 96: 783-785.

2. Bets TR. Regional survey of temporary transvenous pacing procedures and complications. Postgrad Med J 2003; 79; 463-465.

3. Murphy JJ. Current practice and complications of temporary cardiac pacing. Br Med J 1996; 312: 1134.

4. National Institute for Clinical Excellence. NICE technology appraisal guidance No 49: guidance on the use of ultrasound locating devices for placing central venous catheters. London, NICE, 2002 (http://www.guideline.gov/summary/)

5. Hind D, Calvert N, McWilliams R et al. Ultrasonic locating devices for central venous cannulation: meta-analysis. BMJ 2003; 327: 361-368.

6. Ferguson JD, Banning AP, Bashir Y. Randomised trial of temporary cardiac pacing with semirigid and balloon flotation electrode catheters. Lancet 1997; 349: 1883.