{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T19:38:03Z","timestamp":1777837083194,"version":"3.51.4"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"762","license":[{"start":{"date-parts":[[1989,4,1]],"date-time":"1989-04-01T00:00:00Z","timestamp":607392000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1989,4,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>The role of temporary percutaneous endocardial pacing has been examined in a retrospective analysis of all paced patients admitted to one coronary care unit over a 6 year period. The majority of 162 cases (84.6%) were paced for complete heart block complicating acute myocardial infarction. These patients had a higher incidence of previous hypertension, myocardial infarction and diabetes, compared to matched controls (P less than 0.05, less than 0.02 and less than 0.001, respectively). Admission blood glucose levels were also higher (P less than 0.05). The in-hospital mortality was high (46.7%), especially for those with anterior myocardial infarction (74.5%). Twenty-five (15.4%) patients without recent myocardial infarction were paced for symptomatic brady-dysrhythmias, usually due to chronic complete heart block (Lenegre\u2019s disease) or sick sinus syndrome. Most later required permanent pacing. Complications of temporary pacing were more frequent in those who died, the most common being dysrhythmias during pacemaker insertion. Review of our cases suggests that whilst facilities for temporary pacing were extremely valuable, many cases treated were not haemodynamically compromised and probably did not require pacing. Guidelines should be established on coronary care units to prevent the unnecessary morbidity, mortality and expense of the procedure.<\/jats:p>","DOI":"10.1136\/pgmj.65.762.211","type":"journal-article","created":{"date-parts":[[2008,12,29]],"date-time":"2008-12-29T21:05:27Z","timestamp":1230584727000},"page":"211-215","source":"Crossref","is-referenced-by-count":38,"title":["Temporary transvenous cardiac pacing: 6 years experience in one coronary care unit"],"prefix":"10.1093","volume":"65","author":[{"given":"N I","family":"Jowett","sequence":"first","affiliation":[{"name":"Coronary Care Unit, Leicester General Hospital , Leicester LE5 4PW \u00a0 UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D R","family":"Thompson","sequence":"additional","affiliation":[{"name":"Coronary Care Unit, Leicester General Hospital , Leicester LE5 4PW \u00a0 UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J E F","family":"Pohl","sequence":"additional","affiliation":[{"name":"Coronary Care Unit, Leicester General Hospital , Leicester LE5 4PW \u00a0 UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1989,4,1]]},"reference":[{"issue":"55","key":"ref_1","first-page":"215","article-title":"The significance of atrioventricular block complicating myocardial infarction","volume":"1958","author":"Cohen, D.B.; Doctor, L.; Pick, A.","unstructured":"Cohen, D.B., Doctor, L. & Pick, A. The significance of atrioventricular block complicating myocardial infarction. Am Heart J 1958, 55: 215-219.","journal-title":"Am Heart J"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1016\/0002-8703(72)90480-2","article-title":"Conduction disturbances due to anteroseptal myocardial infarction and their treatment by endocardial pacing","volume":"84","author":"Norris, R.M.; Mercer, C.J.; Croxson, M.S.","year":"1972","unstructured":"Norris, R.M., Mercer, C.J. & Croxson, M.S. Conduction disturbances due to anteroseptal myocardial infarction and their treatment by endocardial pacing. Am Heart J 1972, 84: 560-566.","journal-title":"Am Heart J"},{"key":"ref_3","first-page":"378","article-title":"Halothane effects on conductivity of the atrioventricular node and HisPurkinje system in the dog","volume":"56","author":"Atlee, J.L.; Alexander, S.C.","year":"1977","unstructured":"Atlee, J.L. & Alexander, S.C. Halothane effects on conductivity of the atrioventricular node and HisPurkinje system in the dog. Anesth Analg 1977, 56: 378-386.","journal-title":"Anesth Analg"},{"issue":"31","key":"ref_4","first-page":"352","article-title":"Heart block in posterior and anterior myocardial infarction","volume":"1969","author":"Norris, R.M.","unstructured":"Norris, R.M. Heart block in posterior and anterior myocardial infarction. Br Heart J 1969, 31: 352-356.","journal-title":"Br Heart J"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1016\/0002-9149(70)90734-4","article-title":"Complete heart block associated with myocardial infarction","volume":"26","author":"Kostuk, W.J.; Beanlands, D.S.","year":"1970","unstructured":"Kostuk, W.J. & Beanlands, D.S. Complete heart block associated with myocardial infarction. Am J Cardiol 1970, 26: 380-384.","journal-title":"Am J Cardiol"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1378\/chest.69.5.599","article-title":"Heart block complicating acute inferior wall myocardial infarction","volume":"69","author":"Gupta, P.K.; Lichstein, E.; Chadda, K.D.","year":"1976","unstructured":"Gupta, P.K., Lichstein, E. & Chadda, K.D. Heart block complicating acute inferior wall myocardial infarction. Chest 1976, 69: 599-604.","journal-title":"Chest"},{"key":"ref_7","first-page":"2","article-title":"Artificial pacing in the management ofcomplete heart block complicating acute myocardial infarction","volume":"1968","author":"Lassers, B.W.; Julian, D.G.","unstructured":"Lassers, B.W. & Julian, D.G. Artificial pacing in the management ofcomplete heart block complicating acute myocardial infarction. Br Med J 1968, 2: 142-146.","journal-title":"Br Med J"},{"key":"ref_8","first-page":"253","article-title":"Diagnostic criteria for myocardial infarction","volume":"18","author":"Rowley, J.M.; Hampton, J.R.","year":"1981","unstructured":"Rowley, J.M. & Hampton, J.R. Diagnostic criteria for myocardial infarction. Br J Hosp Med 1981, 18: 253-258.","journal-title":"Br J Hosp Med"},{"key":"ref_9","first-page":"129","article-title":"Prognoses and management of ventricular conduction blocks in acute myocardial infarction","volume":"45","author":"Mullins, C.B.; Atkins, J.M.","year":"1976","unstructured":"Mullins, C.B. & Atkins, J.M. Prognoses and management of ventricular conduction blocks in acute myocardial infarction. Mod Concepts Cardiovasc Dis 1976, 45: 129-133.","journal-title":"Mod Concepts Cardiovasc Dis"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1161\/01.CIR.58.4.679","article-title":"The clinical significance of bundle branch block complicating acute myocardial infarction","volume":"58","author":"Hindman, M.C.; Wagner, G.S.; Jaro, M.","year":"1978","unstructured":"Hindman, M.C., Wagner, G.S., Jaro, M. et al. The clinical significance of bundle branch block complicating acute myocardial infarction. Circulation 1978, 58: 679-699.","journal-title":"Circulation"},{"key":"ref_11","first-page":"191","article-title":"What is the role of pacemakers in patients with coronary heart disease and conduction abnormalities","volume-title":"Controversies in Coronary Artery Disease","author":"DeGuzman, M.; Rahimtoola, S.H.","year":"1983","unstructured":"DeGuzman, M. & Rahimtoola, S.H. What is the role of pacemakers in patients with coronary heart disease and conduction abnormalities. In: Rahimtoola, S.H. (ed.) Controversies in Coronary Artery Disease. F.A. Davis Co., Philadelphia, 1983, pp. 191-207."},{"key":"ref_12","first-page":"526","article-title":"Clinical course of myocardial infarction amongst diabetic patients","volume":"4","author":"Czyzyk, A.; Krolewski, A.S.; Szablowska, S.; Alot, A.; Kopczynski, J.","year":"1980","unstructured":"Czyzyk, A., Krolewski, A.S., Szablowska, S., Alot, A. & Kopczynski, J. Clinical course of myocardial infarction amongst diabetic patients. Diabetes Care 1980, 4: 526-529.","journal-title":"Diabetes Care"},{"issue":"289","key":"ref_13","first-page":"1659","article-title":"Abnormalities of cardiac conduction in diabetics","volume":"1984","author":"Blandford, R.L.; Burden, A.C.","unstructured":"Blandford, R.L. & Burden, A.C. Abnormalities of cardiac conduction in diabetics. Br Med J 1984, 289: 1659.","journal-title":"Br Med J"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/S0140-6736(83)90169-1","article-title":"'Stress' hyperglycaemia during acute myocardial infarction: an indicator of pre-existing diabetes?","volume":"ii:","author":"Husband, D.J.; Alberti, K.G.; Julian, D.G.","year":"1983","unstructured":"Husband, D.J., Alberti, K.G. & Julian, D.G. 'Stress' hyperglycaemia during acute myocardial infarction: an indicator of pre-existing diabetes? Lancet 1983, ii: 179-181.","journal-title":"Lancet"},{"key":"ref_15","first-page":"1265","article-title":"Prevalence and risks ofhyperglycaemia and undiagnosed diabetes in patients with acute myocardial infarction","volume":"i:","author":"Oswald, G.A.; Corcoran, S.; Yudkin, J.S.","year":"1984","unstructured":"Oswald, G.A., Corcoran, S. & Yudkin, J.S. Prevalence and risks ofhyperglycaemia and undiagnosed diabetes in patients with acute myocardial infarction. Lancet 1984, i: 1265-1267.","journal-title":"Lancet"},{"key":"ref_16","first-page":"466","article-title":"Who do we pace?","volume":"25","author":"Hayward, R.","year":"1981","unstructured":"Hayward, R. Who do we pace? Br J Hosp Med 1981, 25: 466-474.","journal-title":"Br J Hosp Med"},{"issue":"4","key":"ref_17","first-page":"1007","article-title":"Intra-ventricular conduction defects in acute myocardial infarction: Incidence, prognosis and therapy","volume":"1984","author":"Klein, R.C.; Vera, Z.; Mason, D.T.","unstructured":"Klein, R.C., Vera, Z. & Mason, D.T. Intra-ventricular conduction defects in acute myocardial infarction: Incidence, prognosis and therapy. 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