Author/Editor		Zupan, I
Title		Pristop k bolniku z bradikardno motnjo srčnega ritma
Translated title		Approach to patient with bradyarrhythmia
Type		članek
Source		In: Bručan A, Gričar M, editors. Urgentna medicina: izbrana poglavja 2. Zbornik 3. mednarodni simpozij o urgentni medicini; 1996 jun 26-29; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		1996
Volume		str. 177-83
Language		slo
Abstract		Out-of-hospital therapy for cardiac arrest due to bradyarrhythmias or asystole is pharmacologic and the outcome is uniformly dismal. Optimal therapy for the latter disturbance may be artificial cardiac pacing, but conventional invasive pacing techniques are not employed or are of limited value in the out-of-hospital and emergency department setting. Indications for emergency pacing are well established, and include symptomatic bradyarrhythmias, symptomatic high degree AV block, asystole, and overdrive supression of tachyarrhythmias. The transvenous route and right ventricular pacing is most commonly employed. Transesophageal pacing has been used to initiate and terminate supraventricular tachycardias and to study antiarrhythmic drug efficacy. External transcoutaneous pacing has proved effective in the emergent treatment of patients sustaining asystolic cardiac arrest and/or symptomatic bradycardia. Transthoracic pacing is reserved for cardiac arrest situations in which access to the central circulation is not readily available. Temporary epicardial pacing provides effective prophylaxis in postoperative cardiac surgical patients at risk for developing high grade or complete atrioventricular block.
Descriptors		BRADYCARDIA EMERGENCIES ELECTRIC STIMULATION THERAPY HEART ARREST CARDIAC PACING, ARTIFICIAL ELECTRIC COUNTERSHOCK