ArticleCureus2025
Use of a Temporary Pacemaker During Cesarean Section in a Pregnant Patient With Neurally Mediated Syncope: A Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A 39-year-old pregnant woman with a history of neurally mediated syncope (NMS) and a documented eight-second sinus arrest on her Holter electrocardiography (ECG) was scheduled for cesarean delivery. A temporary pacemaker (PM) was inserted preoperatively to prevent severe bradycardia. Combined epidural and spinal anesthesia (CESA) was carried out. Intraoperatively, severe bradycardia triggered PM activation. Prompt administration of ephedrine and atropine sulfate stabilized her vital signs, and the PM was deactivated within two minutes. The cesarean section proceeded without further complications, and both mother and neonate had favorable outcomes. The PM was removed on postoperative day 2, and no syncope episodes were observed during hospitalization or follow-up. This case demonstrates the effectiveness of temporary PM use in preventing severe bradycardia during cesarean section in a patient with NMS. Multidisciplinary planning and individualized hemodynamic management are essential for achieving safe delivery outcomes in high-risk pregnancies complicated by reflex syncope.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.