A lot of questions about use of temporary transvenous pacing still remain obscure and there is no effective comparison between use of fluoroscopy versus electrocardiogram/echocardiogram in patients with bradicardias. The aim of the study is to evaluate how long does it take to start the correct cardiac stimulation with transvenous pacing in patients with bradicardias comparing use of fluoroscopy versus electrocardiogram/echocardiogram and compare rates of complications between two methods.
Approximately 150 subjects will be recruited over a planned recruitment period of 18 months. Patients will be submitted to ecchocardiogram using Philips Envisor, and electrocardiogram with Philips Healthcare PageWriter TC30.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
150
Transvenous cardiac estimulation
Transvenous cardiac estimulation
Instituto do Coração - HMFMUSP
São Paulo, São Paulo, Brazil
RECRUITINGall cause mortality
Time frame: 1 week
infection
Incidence of infection assessed by a clinical diagnosis
Time frame: 1 week
hematoma > 5 cm
image
Time frame: 1 week
cardiac perforation
Incidence of cardiac perforation assessed by a clinical diagnosis
Time frame: 1 week
pneumothorax
Incidence of pneumothorax assessed by a clinical diagnosis
Time frame: 1 week
ventricular tachycardia
Incidence of ventricular tachycardia assessed by an ECG test
Time frame: 1 week
loss of capture
Incidence of loss of capture assessed by an ECG test
Time frame: 1 week
venous thrombosis
Incidence of venous thrombosis assessed by an ultrasound
Time frame: 1 week
any complication the delays definitive pacemaker > 48 hours
clinical diagnosis
Time frame: 1 week
Time to start the correct cardiac stimulation with transvenous pacing
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minutes scale
Time frame: 1 week
rates of success
ECG test
Time frame: 1 week