Intermediate
Technical
In the Industry Vocabulary Test
epicardial pacing
Temporary cardiac pacing using wires placed directly on the heart surface.
Full Definition
Epicardial pacing involves placement of temporary pacing wires on the epicardial surface of the heart during cardiac surgery to provide postoperative rhythm support. Wires are typically placed on the right atrium and right ventricle, allowing for atrial, ventricular, or sequential pacing as needed. This technique is essential for managing bradyarrhythmias, optimizing atrioventricular synchrony, and treating heart block following cardiac surgery. The wires are usually removed before hospital discharge once normal conduction returns.
Usage
Usage note: Specify epicardial versus endocardial approach when discussing pacing methods.
In Context
- "Epicardial pacing wires were placed for postoperative rhythm management." — Operative report
- "The patient required epicardial pacing for complete heart block." — Postoperative care note
Also known as
temporary epicardial pacing
surgical pacing
Contrasted with
endocardial pacing
transcutaneous pacing
Don't confuse with
endocardial pacing
permanent pacing