0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Pacing in Left Bundle-Branch Block During Swan-Ganz Catheterization-Reply

Denise Morris, MD; Daniel Mulvihill, MD; Wilbur Y. W. Lew, MD
Arch Intern Med. 1988;148(4):984. doi:10.1001/archinte.1988.00380040221036.
Text Size: A A A
Published online

In Reply.  —Drs Lavie and Gersh have addressed several important issues regarding our study.1 They suggest that in patients with left bundle-branch block (LBBB), extensive symptomatic conduction disease or the use of rigid catheters pose additional risks for developing catheter-induced complete heart block. We did not have the data to support or refute this contention. It is noteworthy that, in our study, the incidence of catheter-induced complete heart block in patients with LBBB was extremely low, despite the fact that these patients were critically ill. The majority of patients in our study had acute myocardial infarction, congestive heart failure, and/or cardiogenic shock. It is not clear if the risk for catheter-induced complete heart block in patients with LBBB is greater with severe conduction disease than with cardiogenic shock and/or ongoing myocardial ischemia.We agree with Drs Lavie and Gersh that recent refinements in external transthoracic temporary cardiac pacing2

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();