Chronic bundle branch block and use of temporary transvenous pacemakers during coronary arteriography

Ian C. Gilchrist, Airlie Cameron Md

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

A retrospective analysis of 217 consecutive patients with chronic bundle branch blocks undergoing cardiac catheterization was done to evaluate the need for temporary transvenous pacing during coronary arteriography. In patients without temporary right ventricular pacemakers (n = 185), only one episode of high‐grade atrioventricular block occurred during coronary arteriography which required the urgent use of temporary pacing. All other bradyarrhythmias, including five episodes of transient asystole (greater than 3‐sec pause) and four episodes of artioventricular block (second degree or higher), were successfully managed without pacemaker utilization. Patients with prophylactic right ventricular pacemakers (n = 32) had a greater prevalence of ventricular fibrillation than those without pacing electrodes located in the right ventricle (2% vs. 9% respectively; P < 0.05). These findings suggest that routing phrophylactic pacemaker insertion during coronary arteriography in patients with chronic bundle branch block is not warranted and may place the patient at risk for developing iatrogenic ventricular arrhythmias.

Original languageEnglish (US)
Pages (from-to)229-232
Number of pages4
JournalCatheterization and Cardiovascular Diagnosis
Volume15
Issue number4
DOIs
StatePublished - 1988

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Bundle-Branch Block
Angiography
Atrioventricular Block
Ventricular Fibrillation
Bradycardia
Cardiac Catheterization
Heart Arrest
Heart Ventricles
Cardiac Arrhythmias
Electrodes

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

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abstract = "A retrospective analysis of 217 consecutive patients with chronic bundle branch blocks undergoing cardiac catheterization was done to evaluate the need for temporary transvenous pacing during coronary arteriography. In patients without temporary right ventricular pacemakers (n = 185), only one episode of high‐grade atrioventricular block occurred during coronary arteriography which required the urgent use of temporary pacing. All other bradyarrhythmias, including five episodes of transient asystole (greater than 3‐sec pause) and four episodes of artioventricular block (second degree or higher), were successfully managed without pacemaker utilization. Patients with prophylactic right ventricular pacemakers (n = 32) had a greater prevalence of ventricular fibrillation than those without pacing electrodes located in the right ventricle (2{\%} vs. 9{\%} respectively; P < 0.05). These findings suggest that routing phrophylactic pacemaker insertion during coronary arteriography in patients with chronic bundle branch block is not warranted and may place the patient at risk for developing iatrogenic ventricular arrhythmias.",
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Chronic bundle branch block and use of temporary transvenous pacemakers during coronary arteriography. / Gilchrist, Ian C.; Md, Airlie Cameron.

In: Catheterization and Cardiovascular Diagnosis, Vol. 15, No. 4, 1988, p. 229-232.

Research output: Contribution to journalArticle

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