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Updated: Feb 23, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
Temporary Left Ventricular Pacing: A Desperate Life-saving Measure in Emergency Situation
Ajaz Ahamad Lone1, Mohd Iqbal Dar1, Fayaz Ahamad Rather1
1Department of Cardiology, SKIMS, Srinagar, Jammu and Kashmir, India.
Emergent left ventricular pacing successfully managed a patient with a displaced right ventricular pacemaker lead and difficult venous access during coronary angiography. This nonconventional approach offers a viable alternative for complex cardiac cases.
Area of Science:
- Cardiology
- Electrophysiology
Background:
- Transvenous and transcutaneous right ventricular pacing are standard for symptomatic bradycardia.
- Increasing patient complexity with comorbidities and difficult vascular access presents challenges.
Observation:
- A patient with difficult venous access, tricuspid regurgitation, and a displaced right ventricular pacemaker lead required emergent pacing during coronary angiography.
Findings:
- Nonconventional left ventricular pacing was successfully implemented as an alternative pacing strategy.
- This approach provided effective hemodynamic support in a complex clinical scenario.
Implications:
- Left ventricular pacing is a feasible alternative for temporary pacing in challenging cases.
- This case highlights the adaptability of pacing techniques for critically ill patients.
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