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  • Title: [Non-invasive temporary cardiac pacing. Possibilities and limitations].
    Author: Minutiello L.
    Journal: Minerva Cardioangiol; 1991; 39(1-2):29-33. PubMed ID: 1857509.
    Abstract:
    The non-invasive temporary pacemaker is a reliable and easy method for emergency treatment of asystole or severe bradycardias. Large electrode areas and long pulse width allow a low stimulation threshold (40-60 mA), and so were largely eliminated discomfort resulting from contraction of skeletal muscles and burning pain from stimulation of cutaneous nerves. In our experience, non-invasive pacing was effective in all thirteen patients in whom it was applied, was maintained for a mean time of 30 minutes and then temporary endocardial pacing was performed. In our opinion, this method will be a valid alternative to transvenous pacing, when completely eliminated stimulation of skeletal muscles and cutaneous nerves. It may play a role in the treatment of tachyarrhythmias.
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