External cardiac pacing during in-hospital cardiac arrest

Anne A Knowlton, Rodney H. Falk

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

External noninvasive cardiac pacing offers a rapid and simple method of pacing the heart during an emergency. It has been suggested that early use of cardiac pacing for bradycardia or asystole may improve survival in patients who have cardiac arrest. To investigate this possibility 58 consecutive episodes of cardiac arrest occurring on the medical wards or emergency room. Twenty-six episodes underwent external noninvasive pacing for bradycardia or asystole refractory to standard drugs. Only 2 patients survived, and survival could be directly attributed to pacing in only 1 of them. Of the 32 episodes not undergoing pacing, 23 had transient asystole or bradycardia, 13 of which rapidly responded to medications. The 17 cases (53%) not undergoing pacing survived. In conclusion, when bradycardia or asystole during cardiac arrest fails to respond to standard pharmacologic measures, it is an indicator of severe myocardial damage, and attempts at cardiac pacing rarely improve survival.

Original languageEnglish (US)
Pages (from-to)1295-1298
Number of pages4
JournalThe American journal of cardiology
Volume57
Issue number15
DOIs
StatePublished - Jun 1 1986
Externally publishedYes

Fingerprint

Heart Arrest
Bradycardia
Survival
Hospital Emergency Service
Emergencies
Pharmaceutical Preparations

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

External cardiac pacing during in-hospital cardiac arrest. / Knowlton, Anne A; Falk, Rodney H.

In: The American journal of cardiology, Vol. 57, No. 15, 01.06.1986, p. 1295-1298.

Research output: Contribution to journalArticle

@article{1b5cc7da43eb419a97fe51f6a01876b6,
title = "External cardiac pacing during in-hospital cardiac arrest",
abstract = "External noninvasive cardiac pacing offers a rapid and simple method of pacing the heart during an emergency. It has been suggested that early use of cardiac pacing for bradycardia or asystole may improve survival in patients who have cardiac arrest. To investigate this possibility 58 consecutive episodes of cardiac arrest occurring on the medical wards or emergency room. Twenty-six episodes underwent external noninvasive pacing for bradycardia or asystole refractory to standard drugs. Only 2 patients survived, and survival could be directly attributed to pacing in only 1 of them. Of the 32 episodes not undergoing pacing, 23 had transient asystole or bradycardia, 13 of which rapidly responded to medications. The 17 cases (53{\%}) not undergoing pacing survived. In conclusion, when bradycardia or asystole during cardiac arrest fails to respond to standard pharmacologic measures, it is an indicator of severe myocardial damage, and attempts at cardiac pacing rarely improve survival.",
author = "Knowlton, {Anne A} and Falk, {Rodney H.}",
year = "1986",
month = "6",
day = "1",
doi = "10.1016/0002-9149(86)90207-9",
language = "English (US)",
volume = "57",
pages = "1295--1298",
journal = "American Journal of Cardiology",
issn = "0002-9149",
publisher = "Elsevier Inc.",
number = "15",

}

TY - JOUR

T1 - External cardiac pacing during in-hospital cardiac arrest

AU - Knowlton, Anne A

AU - Falk, Rodney H.

PY - 1986/6/1

Y1 - 1986/6/1

N2 - External noninvasive cardiac pacing offers a rapid and simple method of pacing the heart during an emergency. It has been suggested that early use of cardiac pacing for bradycardia or asystole may improve survival in patients who have cardiac arrest. To investigate this possibility 58 consecutive episodes of cardiac arrest occurring on the medical wards or emergency room. Twenty-six episodes underwent external noninvasive pacing for bradycardia or asystole refractory to standard drugs. Only 2 patients survived, and survival could be directly attributed to pacing in only 1 of them. Of the 32 episodes not undergoing pacing, 23 had transient asystole or bradycardia, 13 of which rapidly responded to medications. The 17 cases (53%) not undergoing pacing survived. In conclusion, when bradycardia or asystole during cardiac arrest fails to respond to standard pharmacologic measures, it is an indicator of severe myocardial damage, and attempts at cardiac pacing rarely improve survival.

AB - External noninvasive cardiac pacing offers a rapid and simple method of pacing the heart during an emergency. It has been suggested that early use of cardiac pacing for bradycardia or asystole may improve survival in patients who have cardiac arrest. To investigate this possibility 58 consecutive episodes of cardiac arrest occurring on the medical wards or emergency room. Twenty-six episodes underwent external noninvasive pacing for bradycardia or asystole refractory to standard drugs. Only 2 patients survived, and survival could be directly attributed to pacing in only 1 of them. Of the 32 episodes not undergoing pacing, 23 had transient asystole or bradycardia, 13 of which rapidly responded to medications. The 17 cases (53%) not undergoing pacing survived. In conclusion, when bradycardia or asystole during cardiac arrest fails to respond to standard pharmacologic measures, it is an indicator of severe myocardial damage, and attempts at cardiac pacing rarely improve survival.

UR - http://www.scopus.com/inward/record.url?scp=0022547445&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0022547445&partnerID=8YFLogxK

U2 - 10.1016/0002-9149(86)90207-9

DO - 10.1016/0002-9149(86)90207-9

M3 - Article

C2 - 3717028

AN - SCOPUS:0022547445

VL - 57

SP - 1295

EP - 1298

JO - American Journal of Cardiology

JF - American Journal of Cardiology

SN - 0002-9149

IS - 15

ER -