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November 2019 Br J Cardiol 2019;26:153–6 doi:10.5837/bjc.2019.042

The permanent decline of temporary pacing

Richard Baker, David Wilson

Abstract

Introduction The insertion of an emergency temporary pacing wire is a potentially lifesaving treatment in acute bradycardia. However, this procedure can be associated with significant morbidity and, occasionally, mortality. In UK district general hospitals (DGH), the responsibility of performing emergency transvenous cardiac pacing historically rested with general physicians. In practice, most procedures were performed by potentially inexperienced trainees.1 Over the previous decade there have been numerous calls for change in the provision of emergency pacing.1-5 It has been shown that doctors with variable experience perform the procedure,

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