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Related Concept Videos

Pulse rhythm01:30

Pulse rhythm

Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac muscle...
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Holter Monitor: 24-Hour Monitoring

Holter monitoring is a continuous electrocardiography (ECG) recording that tracks the heart's electrical activity over an extended period, generally 24 to 48 hours. This noninvasive diagnostic tool detects irregular heart rhythms that may not be captured during a standard ECG performed in a clinical setting.DeviceThe Holter monitor is a portable, small device connected to several electrodes on the patient's chest. These electrodes detect the heart's electrical signals and transmit them to the...

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Improved access to temporary pacing in Denmark.

Christina Alhede1, Mathilde Weisz, Axel Diederichsen

  • 1Kardiologisk Afdeling B, Odense Universitetshospital, 5000 Odense C, Denmark.

Danish Medical Journal
|February 2, 2012
PubMed
Summary
This summary is machine-generated.

Temporary pacing (TP) use in Denmark has decreased significantly, with less than 1% of acute myocardial infarction (AMI) patients now receiving it. While TP facilities have increased, overall utilization for AMI has declined since 1986.

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Area of Science:

  • Cardiology
  • Medical Technology

Background:

  • Temporary pacing (TP) is a crucial intervention for managing cardiac emergencies.
  • Previous studies have documented the use of TP in Denmark, providing a baseline for comparison.

Purpose of the Study:

  • To assess current trends in temporary pacing (TP) utilization in Denmark.
  • To compare contemporary TP practices with data from a 1986 study.
  • To identify changes in indications for TP in patients with acute myocardial infarction (AMI).

Main Methods:

  • A questionnaire study was conducted, replicating a 1986 survey.
  • The questionnaire was distributed to Danish hospitals treating AMI patients.
  • Case reports from the original study were included to evaluate changes in TP indications.

Main Results:

  • The proportion of hospitals with TP facilities nearly doubled since 1986.
  • Transcutaneous TP availability increased significantly, with 94% of hospitals now equipped.
  • The overall percentage of AMI patients receiving TP decreased from 3.7% to 0.7% (p < 0.00001).
  • TP use for posterior AMI with third-degree AV block increased from 56% to 85% (p < 0.05).

Conclusions:

  • Despite increased availability, temporary pacing is now used in less than 1% of Danish AMI patients.
  • The study highlights a significant decline in TP utilization for AMI over two decades.
  • Specific indications, such as posterior AMI with heart block, show increased TP use.