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Related Experiment Videos

Temporary pacemaking by general internists.

S K Krueger, S Rakes, J Wilkerson

    Archives of Internal Medicine
    |August 1, 1983
    PubMed
    Summary

    General internists can safely insert temporary pacemakers without fluoroscopy, showing comparable results to cardiology services. This procedure had a 14% electrode malfunction rate and 4% complication risk, with no deaths.

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    Area of Science:

    • Cardiology
    • Internal Medicine
    • Medical Devices

    Background:

    • Temporary pacemaker insertion is a common procedure.
    • Traditionally performed by specialists, often utilizing fluoroscopy.
    • Evaluating alternative methods for safe and effective insertion is crucial.

    Purpose of the Study:

    • To assess the safety and efficacy of temporary pacemaker insertion by general internists.
    • To determine complication rates and pacemaker electrode performance in this setting.
    • To compare outcomes with those reported by university cardiology services.

    Main Methods:

    • Retrospective review of 126 patients requiring 129 temporary pacemakers.
    • Procedures performed by general internists.
    • Venous access via subclavian and internal jugular veins under ECG guidance, without fluoroscopy.

    Main Results:

    • A 14% incidence of pacemaker electrode malfunction was observed.
    • A 4% risk of complication was recorded.
    • No pacemaker-related mortality occurred.
    • Outcomes compared favorably with university cardiology services.

    Conclusions:

    • Temporary pacemaker insertion can be safely performed by general internists.
    • The absence of fluoroscopy did not compromise patient safety or procedural outcomes.
    • This approach offers a viable alternative in non-specialized settings.

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