journal article·2025-01-09Open access

Temporary Pacing Simulator: A Training Tool for Clinicians

Ioana Cretu, Alexander Tindale, Maysam Abbod, Wamadeva Balachandran, Ashraf W. Khir, Hongying Meng

Applied Sciences· Volume 15· Issue 2

Abstract

Cardiovascular diseases (CVDs) are the leading global cause of death, impacting nations worldwide. Despite medical advancements, managing patients who require temporary pacing (TP) after cardiac surgery remains challenging. TP devices are essential for stabilizing patients with unstable arrhythmias or post-surgical complications but demand manual adjustments and precise clinician management, unlike permanent pacemakers. There is an urgent need for improved TP training and standardisation, hindered by a lack of formal guidelines and adequate protocols. Existing simulators often omit crucial haemodynamic parameters and complex clinical scenarios, limiting their effectiveness. This paper introduces an advanced Temporary Cardiac Pacing Simulator (TCPS) that provides comprehensive physiological signals and complex scenarios for realistic training. It simulates various pacing modes—atrial, ventricular, and dual-chamber—while modeling pacing failures and haemodynamic changes. Sophisticated algorithms replicate clinical responses, offering real-time feedback and dynamic visualizations to enhance learning. Additionally, an innovative feature optimises atrioventricular (AV) delay settings, crucial for improving patient outcomes in both acute and postoperative care.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Cardiac pacing and defibrillation studies · Cardiovascular Function and Risk Factors · Cardiac Arrhythmias and Treatments

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

College of Engineering, Design and Physical Sciences, Brunel University London, London UB8 3PH, UK

Department of Cardiology, Harefield Hospital, Guy’s and St Thomas’ NHS Foundation Trust, London UB9 6JH, UK

Department of Engineering, Durham University, Durham DH1 3LE, UK

Funding

British Heart Foundation

References (16)

Show source-provided references
1. The worldwide environment of cardiovascular disease: Prevalence, diagnosis, therapy, and policy issues: A report from the American College of Cardiology10.1016/j.jacc.2012.11.002 ↗
2. Ulster University (2024, July 18). CVD Statistics: Cardiovascular Disease Is the Current Leading Cause of Death Worldwide. Available online: https://www.ulster.ac.uk/cardiovascular/cvd-prevalence.
3. Temporary Epicardial Pacing After Cardiac Surgery10.1053/j.jvca.2022.08.017 ↗
4. Temporary pacemakers: Current use and complications
5. Temporary cardiac pacing: 50 years old and still young
6. Temporary transvenous cardiac pacing: A survey on current practice10.2459/JCM.0000000000000959 ↗
7. Mastering temporary invasive cardiac pacing10.4037/ccn2004.24.3.25 ↗
8. Outcomes of 4838 patients requiring temporary transvenous cardiac pacing: A statewide cohort study10.1016/j.ijcard.2018.05.112 ↗
9. Problems with temporary cardiac pacing: Expecting trainees in medicine to perform transvenous pacing is no longer acceptable10.1136/bmj.323.7312.527 ↗
10. Timperley, J., Leeson, P., Mitchell, A.R.J., and Betts, T. (2018). Temporary cardiac pacing. Pacemakers and ICDs, Oxford University Press. [2nd ed.]. Oxford Specialist Handbooks in Cardiology.10.1093/med/9780199687831.003.0007 ↗
11. Insertion and management of temporary pacemakers10.1177/1089253215584923 ↗
12. Using software-based simulation for resident physician training in the management of temporary pacemakers10.1097/SIH.0b013e31826ec3e1 ↗
13. NeuroKit2: A Python toolbox for neurophysiological signal processing10.3758/s13428-020-01516-y ↗
14. Matplotlib: A 2D graphics environment10.1109/MCSE.2007.55 ↗
15. A comparison of different methods to maximise signal extraction when using central venous pressure to optimise atrioventricular delay after cardiac surgery10.1016/j.ijcha.2024.101382 ↗
16. Synthesis of Multimodal Cardiological Signals using a Conditional Wasserstein Generative Adversarial Network10.1109/ACCESS.2024.3449134 ↗