Pacemaker insertion for prehospital bradyasystolic cardiac arrest

Joseph P. Ornato; William L. Carveth; John R. Windle

doi:10.1016/S0196-0644(84)80570-3

Pacemaker insertion for prehospital bradyasystolic cardiac arrest

Joseph P. Ornato, William L. Carveth, John R. Windle

Research output: Contribution to journal › Article › peer-review

30 Scopus citations

Abstract

We investigated the use of transvenous (TV) and transmyocardial (TM) pacemakers in the emergency department (ED) in 54 adult patients (42 men and 12 women) with bradyasystolic cardiac arrest. Down time prior to cardiopulmonary resuscitation (CPR) was 4.8 ± 4.3 minutes. Time in the ED prior to pacer insertion was 26.9 ± 17.7 minutes. Electrical capture rate was 63%. Pulse developed in 5%. Only 1.2% were admitted, and none was discharged alive. There was no significant difference in capture rate for TV versus TM pacers or in capture rate whether the pacer was inserted early or late after ED arrival. We conclude that ED pacer insertion for such patients does not alter survival rates.

Original language	English (US)
Pages (from-to)	101-103
Number of pages	3
Journal	Annals of emergency medicine
Volume	13
Issue number	2
DOIs	https://doi.org/10.1016/S0196-0644(84)80570-3
State	Published - Feb 1984

Keywords

bradyasystolic cardiac arrest
cardiac arrest, bradyasystolic, pacemaker

ASJC Scopus subject areas

Emergency Medicine

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10.1016/S0196-0644(84)80570-3

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title = "Pacemaker insertion for prehospital bradyasystolic cardiac arrest",

abstract = "We investigated the use of transvenous (TV) and transmyocardial (TM) pacemakers in the emergency department (ED) in 54 adult patients (42 men and 12 women) with bradyasystolic cardiac arrest. Down time prior to cardiopulmonary resuscitation (CPR) was 4.8 ± 4.3 minutes. Time in the ED prior to pacer insertion was 26.9 ± 17.7 minutes. Electrical capture rate was 63%. Pulse developed in 5%. Only 1.2% were admitted, and none was discharged alive. There was no significant difference in capture rate for TV versus TM pacers or in capture rate whether the pacer was inserted early or late after ED arrival. We conclude that ED pacer insertion for such patients does not alter survival rates.",

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T1 - Pacemaker insertion for prehospital bradyasystolic cardiac arrest

AU - Ornato, Joseph P.

AU - Carveth, William L.

AU - Windle, John R.

PY - 1984/2

Y1 - 1984/2

N2 - We investigated the use of transvenous (TV) and transmyocardial (TM) pacemakers in the emergency department (ED) in 54 adult patients (42 men and 12 women) with bradyasystolic cardiac arrest. Down time prior to cardiopulmonary resuscitation (CPR) was 4.8 ± 4.3 minutes. Time in the ED prior to pacer insertion was 26.9 ± 17.7 minutes. Electrical capture rate was 63%. Pulse developed in 5%. Only 1.2% were admitted, and none was discharged alive. There was no significant difference in capture rate for TV versus TM pacers or in capture rate whether the pacer was inserted early or late after ED arrival. We conclude that ED pacer insertion for such patients does not alter survival rates.

AB - We investigated the use of transvenous (TV) and transmyocardial (TM) pacemakers in the emergency department (ED) in 54 adult patients (42 men and 12 women) with bradyasystolic cardiac arrest. Down time prior to cardiopulmonary resuscitation (CPR) was 4.8 ± 4.3 minutes. Time in the ED prior to pacer insertion was 26.9 ± 17.7 minutes. Electrical capture rate was 63%. Pulse developed in 5%. Only 1.2% were admitted, and none was discharged alive. There was no significant difference in capture rate for TV versus TM pacers or in capture rate whether the pacer was inserted early or late after ED arrival. We conclude that ED pacer insertion for such patients does not alter survival rates.

KW - bradyasystolic cardiac arrest

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Pacemaker insertion for prehospital bradyasystolic cardiac arrest

Abstract

Keywords

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