© 2004 Fellowship of Postgraduate Medicine
SELF ASSESSMENT QUESTION
Cardiology
Evaluation of intermittent capture in a patient who has undergone an urgent temporary transvenous pacemaker lead insertion
Department of Cardiology, School of Medicine, Trakya University, Edirne, Turkey
Correspondence to:
Correspondence to:
Dr Okan Erdogan 
ncirli cad Mine ap No: 72/19 Bak
rkoy stanbul, Turkey 34740; okanerdogan@yahoo.com
Accepted 22 July 2003
Answers on p 433.
| The first 100% of the full text of this article appears below. |
A 64 year old woman with a history of hypertension was admitted to our clinic because of recent onset dyspnoea and dizziness. A 12 lead surface electrocardiogram (ECG) showed complete atrioventricular block with an escape rate of 35 beats/min. A transvenous temporary pacemaker lead was immediately inserted through the right femoral vein. Capture threshold was within the acceptable range. During post-procedure observation in the coronary care unit it was realised that the temporary pacemaker was intermittently capturing. A 12 lead ECG was obtained and is shown in fig 1
; the fluoroscopic view is shown in fig 2.
[in a new window] Figure 1 Post-procedure paced ECG.
| |||||||||
[in a new window] Figure 2 Post-procedure right anterior oblique (RAO) and left anterior oblique (LAO) fluoroscopic views.
| |||||||||
- Describe the ECG (fig 1
).
- What do you see in the fluoroscopic view (fig 2)?
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
Relevant Article
-
Evaluation of intermittent capture in a patient who has undergone an urgent temporary transvenous pacemaker lead insertion
Postgrad. Med. J. 2004 80: 433.[Extract] [Full Text] [PDF]
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
