Key points about temporary pacing
• Temporary pacing provides short-term rhythm support in urgent or reversible situations.• It may be used as a bridge to permanent pacemaker placement.
• The procedure is typically done in a hospital and requires close monitoring.
• Risks increase with longer durations of temporary pacing.
• There are multiple methods of delivery—transvenous, epicardial, or transcutaneous.
Overview of temporary pacing
Temporary pacing involves using a pacing wire or external device to stimulate the heart in cases of dangerously slow or irregular rhythms. It is not meant as a long-term solution but can be lifesaving during acute events or while awaiting further treatment.Candidates for temporary pacing
Temporary pacing may be appropriate for patients who:• Have acute or symptomatic bradycardia.
• Are experiencing high-grade atrioventricular (AV) block.
• Are awaiting permanent pacemaker placement.
• Develop rhythm instability after heart surgery or procedural interventions.
• Have transient rhythm problems due to electrolyte imbalances or medication effects.
Preparation for temporary pacing
• Patients may undergo an ECG and blood tests before the procedure.• Local anesthesia and sterile technique are used for lead insertion.
• Imaging or fluoroscopy may guide catheter placement.
• Emergency access to pacing is available in critical care settings, such as the ICU or ER.
Recovery from temporary pacing
• Patients are monitored continuously for rhythm stability.• The pacing site is checked regularly for signs of infection or bleeding.
• Leads are typically removed once a permanent device is implanted or the underlying issue resolves.
• Recovery depends on the patient’s overall condition and the reason for pacing.
• Patients may need additional cardiac workup before discharge.
Risks for temporary pacing
• Complications can occur during insertion or while the pacing system is in place.These may include:
• Bleeding, infection, or blood clot at the insertion site.
• Dislodgement of the pacing lead requiring repositioning.
• Irritation or perforation of the heart wall (rare but serious).
• Skin burns or pain with transcutaneous pacing.