Kossaify Antoine
Electrophysiology Unit, Cardiology division, USEK-University Hospital Notre Dame de Secours, St Charbel Street, Byblos, Lebanon.
Clin Med Insights Cardiol. 2014 Jan 8;8:9-11. doi: 10.4137/CMC.S13272.
Temporary pacemakers are classically indicated for severe bradydysrhythmia, especially when the clinical settings require prompt intervention. Implantation of a temporary pacemaker is not a benign procedure since it may be associated with serious adverse events such as infection, cardiac perforation, and lead dislodgment. Accordingly, we recommend, when the clinical condition allows, to proceed directly with permanent pacemaker implantation without prior use of a temporary pacemaker. However, if a temporary pacemaker is required, it should be maintained for the shortest time possible. This policy allows avoiding or decreasing the potential complications associated with temporary pacemaker implantation.
临时起搏器传统上适用于严重的缓慢性心律失常，尤其是在临床情况需要迅速干预时。植入临时起搏器并非无害操作，因为它可能与严重不良事件相关，如感染、心脏穿孔和导线移位。因此，我们建议，在临床情况允许时，直接进行永久性起搏器植入，而无需事先使用临时起搏器。然而，如果需要临时起搏器，应尽可能缩短其使用时间。这一策略有助于避免或减少与临时起搏器植入相关的潜在并发症。
