Externalized Reusable Permanent Pacemaker for Prolonged Temporary Cardiac Pacing in Critical Cardiac Care Units: An Observational Monocentric Retrospective Study
Why the study?
Temporary pacing carries frequent complications when indwelling for days, and evidence remains scarce for using an active-fixation lead with an externalized pacemaker for prolonged temporary pacing.
What are the outcomes and safety of prolonged temporary cardiac pacing using an active-fixation lead connected to an externalized pacemaker in critical care patients?
Design
Monocentric retrospective observational study
Follow-up
Six months
Authors
Discussion
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Member takes
Implication
May facilitate bridging to recovery or permanent pacing in critical care; hypothesis-generating and requires prospective trials before wider adoption.
Structured PICO
What are the outcomes and safety of prolonged temporary cardiac pacing using an active-fixation lead connected to an externalized pacemaker in critical care patients?
P
Population
46 patients admitted to the hospital from 2016 to 2021 requiring prolonged temporary cardiac pacing, median age 73, 63% male, 63% with prior heart disease.
I
Intervention
Prolonged temporary cardiac pacing (PTCP) using an active-fixation lead connected to an externalized pacemaker.
O
Outcome
In-hospital and six-month outcomes including complications, need for definite device implantation, and mortality.safety
Prolonged temporary cardiac pacing with an active-fixation lead connected to an externalized pacemaker is a feasible strategy allowing for recovery or resolution of contraindications prior to definite device implantation.
Cite This Study
Beneyto et al. (2022) studied this question.