PMID: 3769503Nov 1, 1986Paper

External cardiac pacing: influence of electrode placement on pacing threshold

Critical Care Medicine
R H Falk, S T Ngai

Abstract

External cardiac pacing is a recently reintroduced, effective method for emergency cardiac stimulation. The optimal electrode position and polarity for external pacing were determined in two groups of normal subjects. In six subjects there was no significant difference in pacing threshold when electrodes were positioned as follows: negative electrode in left parasternal region, positive electrode in right subscapular region; negative electrode in left parasternal region, positive electrode in left subscapular region; or negative electrode at cardiac apex, positive electrode in right parasternal region. In the remaining ten patients, pacing attempts were ineffective when electrode polarity was reversed. We conclude that exact electrode positioning is not crucial for external cardiac pacing, as long as the anterior or apical electrode is negative.

Citations

Nov 1, 1995·Medical & Biological Engineering & Computing·D PanescuR A Stratbucker
Nov 1, 1993·Journal of the American College of Cardiology·R H Falk, N J Battinelli
Aug 1, 1991·Pacing and Clinical Electrophysiology : PACE·J C Luck, M L Markel
Jun 2, 2000·Pacing and Clinical Electrophysiology : PACE·J H NürnbergH T Versmold
Feb 13, 2009·Resuscitation·Robert Sebastian HokeKarl Werdan
Feb 1, 1995·IEEE Transactions on Bio-medical Engineering·D PanescuR A Stratbucker
Jun 1, 1994·IEEE Transactions on Bio-medical Engineering·D PanescuR A Stratbucker
Mar 1, 1993·The American Journal of Emergency Medicine·R B Vukmir
Oct 1, 1993·Journal of Cardiothoracic and Vascular Anesthesia·R J Suriani
May 1, 1987·Pacing and Clinical Electrophysiology : PACE·R H FalkJ A Rubinstein

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