Temporary cardiac pacing | 合法醫療器材資訊網

由MDGammage著作·2000·被引用104次—Electivetemporarypacing.Thisisgenerallyundertakeninthesettingofsurgicalorotherintervention;eitherthepatienthasthepotentialfortransientbradycardia​ ...

Paul Zoll first applied clinically effective temporary cardiac pacing in 1952 using a pulsating current applied through two electrodes attached via hypodermic needles to the chest wall in two patients with ventricular standstill.1 Although this technique was uncomfortable for the patients it was effective for 25 minutes in one patient and nearly five days in the second; this report heralded the ability to provide temporary ventricular rate support for patients with clinically significant bradycardia. Subsequent technological developments have provided endocardial, epicardial, and gastrooesophageal approaches to temporary cardiac pacing in addition to the refinement of external pacing. All approaches, however, are based on the provision of rate support from an external pulse generator via an electrode or electrodes which can be removed easily after a short period of pacing, as many of the situations requirin...