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The Catheter Pacemaker in Complete Heart Block

Edward W. Bixby Jr., MD
JAMA. 1965;194(12):1330. doi:10.1001/jama.1965.03090250064030.
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To the Editor:—  In connection with A. J. Gordon's "Catheter Pacing in Complete Heart Block" (193:1091, 1965), we have had recent experience from approximately 15 patients with "Stokes-Adams" syndrome. We have found catheter pacing through the right ventricle a very successful intermediate step between external pacing and an implant pacemaker for patients requiring at least 24-hour prophylactic adjunct pacing.We have had no really serious complications, although minor adjustment frequently seems required. We have found a unipolar pacemaker much the more desirable because it avoids the necessity for a ground wire suture to the skin and associated irritating crosscurrents. We have been successful in placing the catheter "blind" by using a small monitor-pacemaker that can record the natural heart voltage from a catheter implant. When the monitor can receive a signal, we have been able to pace artificially.This method permits us to place the catheter into an internal


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