This is nothing but my story. 47year male,rich business man had cardiac arrest in home when doing some electrical activity ! His son and family member started chest compression and mouth to mouth and shifted to our hospital ! He was responsive by now, ECG with complete heart block . Soon drugs were started to raise his HR but failed with progressive decrease in BP to 50systolic and condition was going towards pre arrest situation !
Cardio guy consulted but unfortunately only available after 30-45minute ! It was very difficult to wait for another 45min or so ! As I have experience of TPI(Transvenous Temporary Pacing ) in 10-12 numbers of cases , I discussed the situation with the family members and with their consent went ahead for TPI ! Under IITV guidance TPI was implanted , going freely and no resistance was noted ! Tip position confirmed by IITV with pacemaker spikes in ECG monitor…
