Emergency Pacing Using the Fluid Column of a Cardiac Catheter
The fluid column of a haemodynamic monitoring catheter can be used as a conductor for emergency cardiac pacing. For this purpose a special fluid column pacemaker, the FCP was designed. The pacemaker generates a current pulse of 0.1 to 7 mA at fixed rates. It was tested in animals and patients. In all instances cardiac capture through the fluid column of a flow-directed balloon catheter was achieved within a few seconds. The FCP was also effectively used in one emergency patient in cardiogenic shock with sudden total A V block. The FCP seems an ideal standby device for emergencies in intensive care areas, catheterization laboratories and operating rooms, where right heart catheters are often already inserted.
KeywordsCardiogenic Shock Coronary Care Unit Cardiac Pace Fluid Column Anterior Wall Myocardial Infarct
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