Transesophageal Pacing for Temporary Heart Rate Acceleration and Management of Hemodynamics

Transesophageal atrial pacing complications in patients suspected of tachy-brady syndrome.

Raczak G, Swiatecka G, Lubinski A, Kubica J. Cardiological Department of IIIrd Internal Clinic, Medical Acadamy of Gdansk, Poland. Pacing Clin Electrophysiol 13(12 Pt 2):2048-53, 1990. The clinical effects of transesophageal atrial pacing (TAP) were assessed in 308 patients. Indications for TAP included evaluation for pacemaker implantation in patients suspected of sinus node dysfunction and determination of the suitable type of pacemaker. Most patients underwent program stimulation including rapid as well as burst stimulation. In one patient, following the study, cerebral arterial embolism occurred, most likely secondary to an induced arrhythmia. That was the only single case of permanent consequences following TAP. Additionally, one patient was accidentally stimulated in the ventricle using low voltage electric current that induced ventricular fibrillation. This was promptly reversed with defibrillation. Twenty-six patients in whom an arrhythmia was previously induced, required medical therapy, two of whom required cardioversion, and 24 required drug therapy, subsequent to clinical intolerance of the arrhythmia. No lethal complications occurred.

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