Document Detail

External cardiac pacing in right ventricular infarction.
MedLine Citation:
PMID:  3377294     Owner:  NLM     Status:  MEDLINE    
A patient with acute inferior wall myocardial infarction presented with clinical evidence of right ventricular infarction complicated by bradycardia and cardiogenic shock. Pharmacologic interventions produced no change in heart rate or blood pressure, and a transvenous pacemaker failed to capture the infarcting right ventricle. An external transthoracic pacemaker immediately increased the heart rate with a marked hemodynamic improvement. In the setting of right ventricular infarction, external pacing may be more effective than transvenous pacing, perhaps due to its ability to pace the left ventricle.
T Little
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of emergency medicine     Volume:  17     ISSN:  0196-0644     ISO Abbreviation:  Ann Emerg Med     Publication Date:  1988 Jun 
Date Detail:
Created Date:  1988-06-30     Completed Date:  1988-06-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8002646     Medline TA:  Ann Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  640-2     Citation Subset:  AIM; IM    
Department of Emergency Medicine, Tanner Medical Center, Carrollton, Georgia.
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MeSH Terms
Bradycardia / complications,  therapy
Cardiac Pacing, Artificial*
Heart Ventricles / pathology
Myocardial Infarction / complications,  physiopathology,  radiography,  therapy*

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