Which of the following is listed as a contraindication to transcutaneous pacing?

• A. None
• B. Hypotension
• C. Chest pain
• D. Dyspnea

Answer: (A)

Transcutaneous pacing is a noninvasive measure used to deliver temporary electrical stimulation to the heart in symptomatic bradycardia to improve rate and perfusion. In the SNHD protocol, there are no absolute contraindications listed for this intervention, so there isn’t a situation that would automatically stop pacing based on a contraindication. That’s why none of the listed symptoms—hypotension, chest pain, or dyspnea—are considered contraindications. They are signs of the underlying bradycardia and may be present regardless of pacing, but pacing is still indicated to help restore heart rate and improve perfusion. Keep in mind pacing can be uncomfortable and may require monitoring and adjustments, and treat underlying issues as needed.