Article Text

PDF

Evaluation of intermittent capture in a patient who has undergone an urgent temporary transvenous pacemaker lead insertion
  1. O Erdogan,
  2. A Altun
  1. Department of Cardiology, School of Medicine, Trakya University, Edirne, Turkey
  1. Correspondence to:
 Dr Okan Erdogan
 İncirli cad Mine ap No: 72/19 Bakırkoy İstanbul, Turkey 34740; okanerdoganyahoo.com

Statistics from Altmetric.com

Answers on p 433.

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.

Figure 1

 Post-procedure paced ECG.

Figure 2

 Post-procedure right anterior oblique (RAO) and left anterior oblique (LAO) fluoroscopic views.

QUESTIONS

  1. Describe the ECG (fig 1).

  2. What do you see in the fluoroscopic view (fig 2)?

View Abstract

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles