[Mechanical emergency stimulation in asystole and extreme bradycardia].

Abstract

Repetitive precordial thumping is the simplest method of temporary cardiac pacing. In 90 patients out of 100 with witnessed cardiac arrest because of asystole or marked bradycardia the critical situation could be effectively bridged over by this until a sufficient spontaneous rhythm returned or electrostimulation was ready to function. 69 patients were conscious during the stimulation. During the mechanical pacing only in 2 patients there occurred ventricular flutter or fibrillation, which was stopped by electric defibrillation. The existence of the myocardial contractility is the presupposition for effective mechanical and electrical pacing.

• Authors: A Klumbies, R Paliege, H Volkmann
• Journal: Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete (Z Gesamte Inn Med) Vol. 43 Issue 13 Pg. 348-52 (Jul 01 1988) ISSN: 0044-2542 [Print] Germany
• Vernacular Title: Mechanische Notfallstimulation bei Asystolie und extremer Bradykardie.
• PMID: 3051738 (Publication Type: English Abstract, Journal Article)

Topics

• Adolescent
• Adult
• Aged
• Aged, 80 and over
• Arrhythmias, Cardiac (therapy)
• Bradycardia (therapy)
• Cardiac Pacing, Artificial
• Child
• Electrocardiography
• Emergencies
• Female
• Heart Arrest (therapy)
• Heart Massage (methods)
• Humans
• Male
• Middle Aged
• Resuscitation