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Several complications can arise during or shortly after the placement of a temporary transvenous pacemaker (TTP), some of which can be potentially devastating. A TTP was successfully placed under the guidance of point of care ultrasound (POCUS) and intracavitary electrocardiogram (ECG) in a middle-aged woman with symptomatic complete atrioventricular block. Three days post-insertion, pacemaker malfunction was observed along with the migration of the pacing lead to the left ventricular apex on cardiac POCUS. The lead was promptly repositioned, and no complications were noted on subsequent cardiac POCUS examinations. To prevent complications and aid early detection of complications associated with TTPs, cardiac POCUS should be strongly considered.
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http://dx.doi.org/10.24908/pocusj.v10i01.18271 | DOI Listing |
J Acute Med
September 2025
National Cheng Kung University Hospital Department of Emergency medicine National Cheng Kung University, Tainan Taiwan.
Background: Point-of-care ultrasound (POCUS) is increasingly recognized as a vital skill in various medical specialties. Its integration into postgraduate medical training enhances diagnostic accuracy and clinical decision-making. Despite its growing importance, the implementation of a structured POCUS curriculum in postgraduate medical education remains challenging.
View Article and Find Full Text PDFJ Acute Med
September 2025
Rush University Medical Center Department of Emergency Medicine Chicago, IL USA.
Cardiac arrest is a common condition with low survival rates. Point-of-care ultrasound (POCUS) has been increasingly integrated in cardiac arrest care to enhance diagnostic accuracy and guide interventions. POCUS can be divided into cardiac and non-cardiac applications.
View Article and Find Full Text PDFJAMA Netw Open
September 2025
Division of Cardiovascular Diseases and Hypertension, Department of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
Importance: The association of cardiopulmonary point-of-care ultrasonography (POCUS) with length of stay (LOS) and hospitalization costs for patients admitted to internal medicine wards remains uncertain.
Objective: To evaluate a collaborative implementation model involving hospitalists, sonographers, and a remote cardiologist for integrating cardiopulmonary POCUS into the assessment of adult patients (≥18 years) hospitalized with undifferentiated dyspnea, and to assess its association with LOS and hospitalization costs.
Design, Setting, And Participants: This quality improvement study employed a type 1 effectiveness-implementation hybrid design using a 6-month stepped-wedge cluster randomized approach, conducted at a tertiary care hospital in the US between December 7, 2023, and July 2, 2024, to compare the standard-of-care (control) with the intervention group.
Fam Pract
August 2025
Faculty of Medicine, University of Porto, Porto 4200-319, Portugal.
Background: Primary healthcare centers (PHC) play a pivotal role in the first-line management of patients with diabetes and hypertension, major risk factors for heart failure (HF) development. Point-of-care cardiac ultrasound (POCUS), integrated as an extension of the physical examination, holds significant potential to enhance diagnostic accuracy and clinical management in this setting.
Objectives: Evaluate the impact of POCUS on clinical decision-making in patients with HF and at risk of developing HF in PHC and compare POCUS findings with clinical assessment alone, conventional echocardiography, and electrocardiogram results.
Clin Med Insights Case Rep
August 2025
Ahmadi Hospital, Kuwait Oil Company, Fahahil, Kuwait.
Pneumatosis intestinalis (PI) is characterized by the presence of air within the walls of the small intestine, large intestine, and sometimes the gastric wall. The mechanism and pathogenesis of PI are poorly understood. The discovery of PI can occur in the form of an incidental finding, such as a benign course or a life-threatening condition, such as intestinal ischemia.
View Article and Find Full Text PDF