PMID: 1704585Dec 1, 1990

Transcutaneous cardiac pacing: evaluation of cardiac activation

Pacing and Clinical Electrophysiology : PACE
G AltamuraM Pistolese


The effects of transcutaneous cardiac pacing (TCP) on cardiac activation were evaluated by endocavitary recording (HRA, RVA) in eight patients, in order to test the possibility to obtain a simultaneous atrial and ventricular stimulation. The transcutaneous pacemaker used was the Pace Aid 52 (pacing rate 50-160 ppm, current output 10-150 mA, pulse width 20 sec). The two skin electrodes (surface area 50 cm2) were placed on the chest in anteroposterior position. Ventricular capture was observed in all patients (threshold = 74 +/- 14 mA), simultaneous atrial capture was obtained in only four cases (threshold = 138 +/- 25 mA). In conclusion, our data show that four-chamber simultaneous stimulation by TCP is possible, but only with pacing energies much higher than those usually required to capture the ventricle. The ability of TCP to simultaneously pace the atria and ventricles, though not relevant in the emergency cardiac stimulation for symptomatic severe bradyarrhythmias, could be useful in the treatment of reentrant supraventricular tachycardias.


Jul 1, 1978·The American Journal of Cardiology·C AlicandriV Morant
Jan 1, 1986·Pacing and Clinical Electrophysiology : PACE·R NoeJ E Batchelder
May 1, 1987·Pacing and Clinical Electrophysiology : PACE·R H FalkJ A Rubinstein
Sep 1, 1987·Pacing and Clinical Electrophysiology : PACE·J C Luck, D Davis
Aug 1, 1988·Pacing and Clinical Electrophysiology : PACE·J K MadsenJ Meibom
Feb 1, 1989·Pacing and Clinical Electrophysiology : PACE·G AltamuraM Pistolese
Jan 1, 1986·The American Journal of Emergency Medicine·S A SyverudP J Engel
Mar 1, 1988·The American Journal of Cardiology·J C LuckM L Markel
Mar 1, 1984·Pacing and Clinical Electrophysiology : PACE·James T NiemannJ M Criley
Nov 10, 1983·The New England Journal of Medicine·D P Zipes
May 1, 1981·Critical Care Medicine·P M ZollA H Belgard


Feb 13, 2009·Resuscitation·Robert Sebastian HokeKarl Werdan
Mar 1, 1993·The American Journal of Emergency Medicine·R B Vukmir
Aug 1, 1991·Pacing and Clinical Electrophysiology : PACE·J C Luck, M L Markel
Nov 1, 1992·Pacing and Clinical Electrophysiology : PACE·J A TriganoJ Mugica
Aug 28, 2007·The American Journal of Forensic Medicine and Pathology·Raymond E Ideker, Derek J Dosdall

Related Concepts

Cardiac Pacing, Artificial
Electric Conductivity
Electrocardiographic Recorders
Implantable Stimulation Electrodes
Myocardial Contraction
Artificial Cardiac Pacemaker
Atrial Function
Ventricular Function

Related Feeds

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.


Bradyarrhythmias are slow heart rates. Symptoms may include syncope, dizziness, fatigure, shortness of breath, and chest pains. Find the latest research on bradyarrhythmias here.

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.


Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.