Related Experiment Video

Updated: Sep 17, 2025

Translational Rabbit Model of Chronic Cardiac Pacing
06:14

Translational Rabbit Model of Chronic Cardiac Pacing

Published on: January 6, 2023

2.7K

Incidence and predictors of temporary pacemaker implantation-induced cardiac perforation

Sudhanshu Kumar Dwivedi1, Akhil Sharma1, Gaurav Chaudhary1

  • 1Department of Cardiology, King George's Medical University, Lucknow, India.

Heart Rhythm
|June 29, 2025
PubMed

Insights

Serial echocardiography aids early detection of cardiac perforation and tamponade during transvenous temporary pacing. Renal dysfunction and longer pacing duration are key predictors of these serious complications.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Interventional Cardiology

Background:

  • Cardiac perforation (CP) and cardiac tamponade (CT) are rare but serious complications of transvenous temporary pacing (TTP).
  • The diagnostic utility of serial echocardiographic imaging for detecting these complications requires further investigation.

Purpose of the Study:

  • To determine the incidence of CP and CT following TTP.
  • To assess the temporal development of CP and CT.
  • To identify predictors of CP and CT.

Main Methods:

  • A prospective, observational study involving 641 patients undergoing TTP at a tertiary care hospital.
  • Serial echocardiographic evaluations were performed at multiple predefined time points.
  • Univariate and multivariate Cox regression analyses were used to identify predictors.

Main Results:

  • Cardiac perforation (CP) occurred in 9.2% of patients.
  • Serial echocardiography detected new effusions at various time points post-TTP.
  • Renal dysfunction and longer TTP duration were significant predictors of CP.

Conclusions:

  • Routine serial echocardiographic imaging improves early detection of CP and CT during TTP.
  • Identifying predictors like renal dysfunction and pacing duration can inform risk stratification.
Abstract

Keywords:
Cardiac perforationCardiac tamponadePericardial effusionPermanent heart rhythm deviceSerial echocardiographic screeningTemporary transvenous pacemaker

More Related Videos

Sterile Pericarditis in Aachener Minipigs As a Model for Atrial Myopathy and Atrial Fibrillation08:56

Sterile Pericarditis in Aachener Minipigs As a Model for Atrial Myopathy and Atrial Fibrillation

Published on: September 24, 2021

2.8K
Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation06:02

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Published on: August 8, 2025

188

Related Concept Videos

Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
180
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
152
Pericarditis I: Introduction01:22

Pericarditis I: Introduction

Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
26
Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
173
Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
30
Pericarditis II: Clinical Features and Diagnostic Tests01:19

Pericarditis II: Clinical Features and Diagnostic Tests

Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
32