What question did this study set out to answer?

To evaluate the utility and diagnostic features of real-time, two-dimensional echocardiography in patients with suspected myocardial perforation caused by temporary transvenous pacemakers.

July 1, 1981CirculationOpen Access

Real-time, two-dimensional echocardiographic features of pacemaker perforation.

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Why the study?

Can real-time, two-dimensional echocardiography diagnose pacemaker perforation in patients with suspected myocardial perforation?

Population

5 patients with clinically suspected myocardial perforation by temporary transvenous pacemakers

Design

Case_series

Authors

BGBapineedu GondiStrong Memorial Hospital NNNavin C. NandaCardiac Imaging

Discussion

Member takes

Implication

May aid suspected pacemaker perforation diagnosis; leaves open routine adoption pending larger studies.

Key Points

To evaluate the utility and diagnostic features of real-time, two-dimensional echocardiography in patients with suspected myocardial perforation caused by temporary transvenous pacemakers.
Evaluated five consecutive patients (four adults and one child, N=5) with clinically suspected myocardial perforation from temporary transvenous pacemakers using real-time, two-dimensional echocardiography.
Tracked bedside catheter repositioning under continuous echocardiographic guidance and confirmed anatomical findings via postmortem examination when available.
Visualized abnormal catheter positions in all five patients: three perforated the right ventricular apical wall outside the cardiac border, one traversed the atrioventricular septum into the left ventricle, and one partially entered the ventricular septum.
Identified pericardial effusion in two patients without evidence of cardiac tamponade, and directly monitored successful catheter withdrawal into the right-heart chambers in four patients.

Structured PICO

Can real-time, two-dimensional echocardiography diagnose pacemaker perforation in patients with suspected myocardial perforation?

Population

5 patients (4 adults and 1 child) with clinically suspected myocardial perforation by temporary transvenous pacemakers

Intervention

Real-time, two-dimensional echocardiography

Outcome

Visualization and diagnosis of pacemaker perforationsurrogate

Real-time, two-dimensional echocardiography is a valuable tool for diagnosing and guiding the management of pacemaker perforation.

Cite This Study

Gondi et al. (1981) studied this question.

synapsesocial.com/papers/6a7cc7c0263fc0f117fabbcc https://doi.org/10.1161/01.cir.64.1.97

Topics

Echocardiography Tricuspid regurgitation

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Real-time, two-dimensional echocardiographic features of pacemaker perforation.

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Real-time, two-dimensional echocardiographic features of pacemaker perforation.

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider