Epidemiology of specific AV blocks in the United States
• All types of AV blocks occur more frequently in people older than 70 years, especially in those who have structural heart disease. International data • The international incidence is similar to that of the United States. Age-, sex-, and race-related demographics • A 60% female preponderance exists in congenital third- degree AV block; for acquired third-degree AV block, a 60% male preponderance exists. No racial proclivity exists in AV blocks. TEMPORARY PACEMAKER Indications for Temporary Pacing Placement of Epicardial Wires Transvenous Pacing Insertion Sites Internal Jugular Vein External Jugular Vein Internal Jugular Subclavian Vein Subclavian
Brachial Vein
Femoral Femoral Vein Transvenous Pacing Wire
• Bipolar lead system
– Transvenous wire is floated into the right ventricle – The negative and positive electrodes are in contact with the heart