Temporary Pacing

Overview of temporary pacing 

Temporary pacing involves using a pacing wire or external device to stimulate the heart in cases of dangerously slow or irregular rhythms. It is not meant as a long-term solution but can be lifesaving during acute events or while awaiting further treatment. 

Candidates for temporary pacing 

Temporary pacing may be appropriate for patients who: 

• Have acute or symptomatic bradycardia.
• Are experiencing high-grade atrioventricular (AV) block. 
• Are awaiting permanent pacemaker placement. 
• Develop rhythm instability after heart surgery or procedural interventions. 
• Have transient rhythm problems due to electrolyte imbalances or medication effects. 

Preparation for temporary pacing 

• Patients may undergo an ECG and blood tests before the procedure. 
• Local anesthesia and sterile technique are used for lead insertion. 
• Imaging or fluoroscopy may guide catheter placement. 
• Emergency access to pacing is available in critical care settings, such as the ICU or ER. 

Recovery from temporary pacing 

• Patients are monitored continuously for rhythm stability. 
• The pacing site is checked regularly for signs of infection or bleeding. 
• Leads are typically removed once a permanent device is implanted or the underlying issue resolves. 
• Recovery depends on the patient’s overall condition and the reason for pacing. 
• Patients may need additional cardiac workup before discharge. 

Risks for temporary pacing 

Complications can occur during insertion or while the pacing system is in place. 

These may include: 

• Bleeding, infection, or blood clot at the insertion site. 
• Dislodgement of the pacing lead requiring repositioning. 
• Irritation or perforation of the heart wall (rare but serious). 
• Skin burns or pain with transcutaneous pacing.