Biomaterial Database

Temporary transvenous cardiac pacing: a survey on current practice. 2020

Igor Diemberger, and Giulia Massaro, and Antonio Rossillo, and Enrico Chieffo, and Daniela Dugo, and Fabrizio Guarracini, and Pier Luigi Pellegrino, and Francesco Perna, and Maurizio Landolina, and Roberto De Ponti, and Massimo Zoni Berisso, and Renato Pietro Ricci, and Giuseppe Boriani, and

Institute of Cardiology, Department of Experimental, Diagnostic and Specialty Medicine, Policlinico S.Orsola-Malpighi University of Bologna, Bologna.

BACKGROUND Temporary transvenous cardiac pacing (TTCP) is a standard procedure in current practice, despite limited coverage in consensus guidelines. However, many authors reported several complications associated with TTCP, especially development of infections of cardiac implantable electronic devices (CIED). The aim of this survey was to provide a country-wide picture of current practice regarding TTCP. METHODS Data were collected using an online survey that was administered to members of the Italian Association of Arrhythmology and Cardiac Pacing. RESULTS We collected data from 102 physicians, working in 81 Italian hospitals from 17/21 regions. Our data evidenced that different strategies are adopted in case of acute bradycardia with a tendency to limit TTCP mainly to advanced atrioventricular block. However, some centers reported a greater use in elective procedures. TTCP is usually performed by electrophysiologists or interventional cardiologists and, differently from previous reports, mainly by a femoral approach and with nonfloating catheters. We found high inhomogeneity regarding prevention of infections and thromboembolic complications and in post-TTCP management, associated with different TTCP volumes and a strategy for management of acute bradyarrhythmias. CONCLUSIONS This survey evidenced a high inhomogeneity in the approaches adopted by Italian cardiologists for TTCP. Further studies are needed to explore if these divergences are associated with different long-term outcomes, especially incidence of CIED-related infections.

UI	MeSH Term	Description	Entries
D007558	Italy	A country in southern Europe, a peninsula extending into the central Mediterranean Sea, northeast of Tunisia. The capital is Rome.	Sardinia
D010138	Pacemaker, Artificial	A device designed to stimulate, by electric impulses, contraction of the heart muscles. It may be temporary (external) or permanent (internal or internal-external).	Cardiac Pacemaker, Artificial,Artificial Cardiac Pacemaker,Artificial Cardiac Pacemakers,Artificial Pacemaker,Artificial Pacemakers,Cardiac Pacemakers, Artificial,Pacemaker, Artificial Cardiac,Pacemakers, Artificial,Pacemakers, Artificial Cardiac
D010818	Practice Patterns, Physicians'	Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.	Clinical Practice Patterns,Physician's Practice Patterns,Clinical Practice Pattern,Pattern, Clinical Practice,Patterns, Clinical Practice,Practice Pattern, Clinical,Practice Patterns, Clinical,Practice Patterns, Physician's,Prescribing Patterns, Physician,Physician Practice Patterns,Physician Prescribing Pattern,Physician Prescribing Patterns,Physician's Practice Pattern,Physicians' Practice Pattern,Physicians' Practice Patterns,Practice Pattern, Physician's,Practice Pattern, Physicians',Practice Patterns, Physician,Prescribing Pattern, Physician
D001919	Bradycardia	Cardiac arrhythmias that are characterized by excessively slow HEART RATE, usually below 50 beats per minute in human adults. They can be classified broadly into SINOATRIAL NODE dysfunction and ATRIOVENTRICULAR BLOCK.	Bradyarrhythmia,Bradyarrhythmias,Bradycardias
D002304	Cardiac Pacing, Artificial	Regulation of the rate of contraction of the heart muscles by an artificial pacemaker.	Pacing, Cardiac, Artificial,Artificial Cardiac Pacing,Artificial Cardiac Pacings,Cardiac Pacings, Artificial,Pacing, Artificial Cardiac,Pacings, Artificial Cardiac
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000072096	Cardiologists	Qualified medical professionals who specialize in preventing and treating disorders of the heart and CARDIOVASCULAR SYSTEM.	Cardiologist
D054625	Healthcare Disparities	Differences in access to or availability of medical facilities and services.	Disparities, Healthcare,Health Care Disparities,Health Care Inequalities,Healthcare Disparity,Healthcare Inequalities,Disparities, Health Care,Disparity, Health Care,Disparity, Healthcare,Health Care Disparity,Health Care Inequality,Healthcare Inequality,Inequalities, Health Care,Inequalities, Healthcare,Inequality, Health Care,Inequality, Healthcare
D054849	Cardiac Electrophysiology	The study of the electrical activity and characteristics of the HEART; MYOCARDIUM; and CARDIOMYOCYTES.	Cardiac Electrophysiologies,Electrophysiologies, Cardiac,Electrophysiology, Cardiac
D019538	Health Care Surveys	Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.	Healthcare Surveys,National Ambulatory Medical Care Survey,National Hospital Discharge Survey,Care Survey, Health,Care Surveys, Health,Health Care Survey,Healthcare Survey,Survey, Health Care,Survey, Healthcare,Surveys, Health Care,Surveys, Healthcare