Arrhythmias & electrophysiology
Incidence and predictors of temporary pacemaker implantation–induced cardiac perforation
Authors' conclusion
The use of serial echocardiographic imaging as a routine monitoring tool during TTP procedures enhances the early detection of CP and CT.
Study context
- Population
- Consecutive patients undergoing transvenous temporary pacing (TTP), tertiary care hospital in North India, 2015–2019; preexisting pericardial effusion or CPR excluded
- Participants
- 641 patients
- Outcome
- Incidence of cardiac perforation (CP) and cardiac tamponade after TTP by serial echocardiography
Methodological detailssingle-centre, consecutive patients
- Single-centre
- Consecutive patients
Main finding
As reported in the abstract
Cardiac perforation
Cardiac perforation (CP)
59
9.2%
Small effusion
33
5.1%
Moderate effusion
18
2.8%
Large effusion
8
1.2%
Observational data: associations, not effects.
Further findings
New effusions detected by serial echocardiography, by time point
- After TTP electrode implantation
- 3.7%
- Before temporary electrode removal
- 1.1%
- After temporary electrode removal
- 2.3%
Predictors of CP (multivariate Cox regression)
- Renal dysfunction and longer TTP duration were significant predictors of CP
Original publication
Incidence and predictors of temporary pacemaker implantation–induced cardiac perforation. Heart Rhythm. Published 27 June 2025. doi:10.
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