Key result
Short-term use of an intravenous indwelling electrode was safe and effective for treating 16 patients with heart block and Adams-Stokes disease when other medical measures were ineffective.
Why the study?
Does short-term use of an intravenous electrode provide safe and effective pacing in patients with medically refractory heart block and Adams-Stokes disease?
Case Report (n=16)
Does short-term use of an intravenous electrode provide safe and effective pacing in patients with medically refractory heart block and Adams-Stokes disease?
Short-term intravenous right ventricular pacing is a safe and effective treatment for medically refractory heart block and Adams-Stokes disease.
Supports feasibility of temporary pacing in refractory cases; leaves open need for controlled trials before practice change.
Our experience with 16 patients indicates that use of an indwelling electrode, introduced preferably through the right external jugular vein into the cavity of the right ventricle, is a safe and effective method for treatment of patients with heart block and Adams-Stokes disease when other medical measures have been ineffective. In addition endocardial stimulation may be used to pace patients with heart block through anesthesia and operation. When congestive failure complicates heart block, it is usually significantly improved by the more rapid rate that can be achieved through electrical pacing.
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Roman W. DeSanctis (1963) conducted a case report in Heart block and Adams-Stokes disease (n=16). Intravenous indwelling electrode was evaluated on Safety and effectiveness. Short-term use of an intravenous indwelling electrode was safe and effective for treating 16 patients with heart block and Adams-Stokes disease when other medical measures were ineffective.
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