NHÂN MỘT TRƯỜNG HỢP TẠO NHỊP TẠM THỜI QUA DA Ở BỆNH NHÂN RỐI LOẠN NHỊP CHẬM DO TĂNG KALI MÁU

Tùng Tôn Thanh; Tân Nguyễn Văn; Huệ Hoàng Lê

doi:10.59354/ydth175.2021.107

Keywords:

transcutaneous temporary pacing, hyperkalemic bradyarrhythmia

Abstract

Temporary pacing is often used when the bradyarrhythmias were unresponsive to medication. The clinical case of hyperkalemic bradycardia, leading to hemodynamic instability and unresponsiveness to atropine, occurred in a 67-year-old female patient with end-stage renal failure on periodic hemodialysis. The patient was conducted transcutaneous temporary pacing (TCP) to stabilize hemodynamics and then combined with emergency hemodialysis to improve hyperkalemia. Transcutaneous temporary pacing is a safe, less invasive approach than transvenous temporary pacing (TVP) that should be considered in emergency situations for the management of bradyarrhythmias due to variable transient causes and reversible.

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