Temporary pacing wires

• Consider w/ bradycardia with hemodyn instability or unstable escape rhythm when perm pacer not readily available.
  • Risks: infxn, RV perf, VT, PTX, CHB if existing LBBB.
• Consider instead of PPM for sx brady from reversible cause
  • (βB/CCB O/D,
  • Lyme,
  • SBE,
  • myocarditis,
  • s/p cardiac surgery/trauma/TAVR),
  • TdP,
  • acute MI (sx brady/high-grade AVB)