CASE REPORT OF TRANSCUTANEOUS PACING IN A PATIENT WITH HYPERKALEMIC BRADYARRHYTHMIA
DOI:
https://doi.org/10.59354/ydth175.2021.107Keywords:
transcutaneous temporary pacing, hyperkalemic bradyarrhythmiaAbstract
Temporary pacing is often used when the bradyarrhythmias were unresponsive to medication. The clinical case of hyperkalemic bradycardia, leading to hemodynamic instability and unresponsiveness to atropine, occurred in a 67-year-old female patient with end-stage renal failure on periodic hemodialysis. The patient was conducted transcutaneous temporary pacing (TCP) to stabilize hemodynamics and then combined with emergency hemodialysis to improve hyperkalemia. Transcutaneous temporary pacing is a safe, less invasive approach than transvenous temporary pacing (TVP) that should be considered in emergency situations for the management of bradyarrhythmias due to variable transient causes and reversible.
References
Hùng PM. Rối loạn nhịp tim thường gặp. Lâm sàng tim mạch học. Viện tim mạch Việt Nam: Nhà xuất bản y học; 2019.
Hùng; PM, Linh PT. Điều trị rối loạn nhịp tim. Thuốc tim mạch trong thực hành lâm sàng. Viện tim mạch Việt Nam: Nhà xuất bản Y học; 2020.
Advanced cardiac life support (ACLS) in adults [Internet]. Uptodate. 2020.
Rafique Z, Chouihed T, Mebazaa A, Frank Peacock W. Current treatment and unmet needs of hyperkalaemia in the emergency department. European Heart Journal Supplements. 2019;21(Supplement_A):A12-A9.
Elliott MJ, Ronksley PE, Clase CM, Ahmed SB, Hemmelgarn BR. Management of patients with acute hyperkalemia. CMAJ. 2010;182(15):1631-5.
Bektas F, Soyuncu S. The efficacy of transcutaneous cardiac pacing in ED. The American journal of emergency medicine. 2016;34(11):2090- 3.
Kim NH, Oh SK, Jeong JW. Hyperkalaemia induced complete atrioventricular block with a narrow QRS complex. Heart. 2005;91(1):e5-e.
Sodeck GH, Domanovits H, Meron G, Rauscha F, Losert H, Thalmann M, et al. Compromising bradycardia: Management in the emergency department. Resuscitation. 2007;73(1):96-102.
Doukky R, Bargout R, Kelly RF, Calvin JE. Using transcutaneous cardiac pacing to best advantage: How to ensure successful capture and avoid complications. J Crit Illn. 2003;18(5):219-25.
Dalsey W, Syverud S, Trott A. Transcutaneous cardiac pacing. J Emerg Med. 1984;1(3):201-5.
Baratloo A, Haroutunian P, Rouhipour A, Safari S, Rahmati F. Hyperkalemia-induced complete heart block. Journal of Emergency Practice and Trauma. 2015;1(1):35-8.
Craig K. How to provide transcutaneous pacing. Nursing2021. 2006;36:22-3.
