Publication: Clinical Profile of Patients Undergoing Temporary Transvenous Pacing in a Tertiary Cardiac Care Centre in Nepal
| creativeworkseries.issn | ISSN (Print) : 1993-2979 | ISSN (Online) : 1993-2987 | |
| dc.contributor.author | Sharma, Manju | |
| dc.contributor.author | Jha, Sunil C | |
| dc.contributor.author | Sayami, Arun | |
| dc.contributor.author | Gajurel, Ratna M | |
| dc.contributor.author | Poudel, Chandra M | |
| dc.contributor.author | Khanal, Rajaram | |
| dc.contributor.author | Pathak, Surya R | |
| dc.contributor.author | Thapa, Shovit | |
| dc.contributor.author | Adhikari, Suman | |
| dc.contributor.author | Yadav, Vijay | |
| dc.date.accessioned | 2026-04-02T06:37:23Z | |
| dc.date.available | 2026-04-02T06:37:23Z | |
| dc.date.issued | 2020 | |
| dc.description.abstract | ABSTRACT Introduction: Temporary transvenous pacemaker insertion is an emergency lifesaving procedure for patients with hemodynamically unstable and life-threatening bradyarrythmias. The aim of this study was to analyze demographics, indications, route of insertion and complications in patients undergoing temporary transvenous pacemaker implantation. Methods: This was a retrospective observational study conducted at a tertiary-care center in Nepal. The hospital records of patients who had undergone temporary transvenous pacemaker implantation between July 2015 and June 2019 were reviewed. Results: A total of 343 patients with mean age of 65.52±16.09 years received temporary transvenous pacing. Out of these 205 (59.8%) were males. Greater proportion of patients were between the age group of 70-80 years (n=76, 22.2%). Hypertension (n=97, 28.3%) was the most common comorbidity noted. The most common indication for temporary pacing was symptomatic complete heart block 165 (59.6%). Total of 288 (84%) patients received permanent pacemakers while 55(16%) had reversible cause so TPI was removed. Right Femoral vein was the most common (99%) venous access site. Among the 343 patients, complications were observed in 29 (8.4%) of cases during and after the temporary transvenous pacemaker insertion. The overall mortality stood low at 2% (n=7). Conclusion: Temporary transvenous pacemaker insertion is required in elderly population presenting with bradyarrythmias and occasionally in acute myocardial infarction presenting with bradyarrythmias as complication. Temporary pacemaker insertion was overall a safe procedure with infrequent serious complications; however, strategies to avoid and alleviate such complications (RV perforation) should be sought and implemented. Keywords: Complete heart block, myocardial infarction, temporary transvenous pacemaker | |
| dc.identifier | https://doi.org/10.59779/jiomnepal.1108 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/5572 | |
| dc.language.iso | en_US | |
| dc.publisher | Institute of Medicine | |
| dc.subject | Complete heart block | |
| dc.subject | myocardial infarction | |
| dc.subject | temporary transvenous pacemaker | |
| dc.title | Clinical Profile of Patients Undergoing Temporary Transvenous Pacing in a Tertiary Cardiac Care Centre in Nepal | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Original Article | |
| oaire.citation.endPage | 41 | |
| oaire.citation.startPage | 37 | |
| relation.isJournalIssueOfPublication | 6dcbf166-09e2-415e-9156-dc13340873fb | |
| relation.isJournalIssueOfPublication.latestForDiscovery | 6dcbf166-09e2-415e-9156-dc13340873fb | |
| relation.isJournalOfPublication | a9ba45d9-ee33-4a6b-b1fc-6626b87eec6c |