临时左心室起搏：紧急情况下的一种孤注一掷的救命措施。

Lone Ajaz Ahamad, Dar Mohd Iqbal, Rather Fayaz Ahamad, Alai Mohd Sultan, Hafiz Imran, Beigh Jahangir Rashid

Department of Cardiology, SKIMS, Srinagar, Jammu and Kashmir, India.

Indian J Crit Care Med. 2017 Aug;21(8):531-533. doi: 10.4103/ijccm.IJCCM_358_16.

Transcutaneous or transvenous pacing of the right ventricle is performed as a routine practice for patients received with symptomatic bradycardia or complete heart block with relative ease in cath lab. However, more and more patients are received with multiple comorbidities, critical condition, and difficult vascular access. In this article, we describe a patient with difficult venous access with tricuspid regurgitation and displaced the right ventricular pacemaker temporary lead undergoing coronary angiography who was managed with emergent nonconventional left ventricular pacing.

对于因症状性心动过缓或完全性心脏传导阻滞而收入导管室的患者，经皮或经静脉右心室起搏是一种常规操作，相对容易实施。然而，越来越多的患者合并多种疾病、病情危重且血管通路困难。在本文中，我们描述了一名静脉通路困难、伴有三尖瓣反流且在进行冠状动脉造影时右心室临时起搏导线移位的患者，该患者通过紧急非常规左心室起搏进行了治疗。