Key result
Temporary right atrial pacing shows utility for acute ICU arrhythmias while preserving AV synchrony.
Temporary right atrial pacing can be utilized as an acute treatment for bradyarrhythmias and tachyarrhythmias in the intensive care setting to preserve atrioventricular synchrony.
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May support temporary right atrial pacing in select ICU cases; hypothesis-generating and requires prospective validation.
Temporary pacing is often used as an acute treatment of bradyarrhythmias and suppression of tachyarrhythmias. In patients with cardiogenic shock, loss of atrioventricular synchrony may worsen cardiovascular haemodynamics. We present a series where temporary right atrial pacing was used as an acute treatment for both bradyarrhythmias and tachyarrhythmias.
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Pang et al. (2012) studied this question. Temporary right atrial pacing demonstrated utility as an acute treatment for bradyarrhythmias and tachyarrhythmias in the intensive care setting while preserving atrioventricular synchrony.
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