ECG tracing in pacemaker patients
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This document provides information about interpreting electrocardiograms (ECGs) for patients with dual chamber pacemakers. It lists the worldwide headquarters and contact information for Medtronic, the medical device company that produces pacemakers. The document aims to help physicians and medical professionals interpret ECG readings for patients with Medtronic dual chamber pacemakers implanted.
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The document provides an overview of pacemaker components, physiology, and programming. It discusses the basic hardware components of pacemakers including the pulse generator, leads, and electrodes. It then covers pacing and sensing principles such as capture, impedance, and sensing thresholds. The remainder summarizes various pacing modes and algorithms for managing arrhythmias, rate response, and minimizing ventricular pacing.
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This document provides an overview of pacemaker ECG interpretations with the following aims:
1) To determine the pacing mode and whether it is functioning normally or abnormally.
2) To define any abnormalities present and differentiate between true malfunctions versus pseudo-malfunctions.
3) To recognize ECG patterns that may appear abnormal but are actually due to the normal operation of complex pacemaker algorithms.
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This document provides an overview of pacemaker ECG interpretations with the following aims:
1) To determine the pacing mode and whether it is functioning normally or abnormally.
2) To define any abnormalities present and differentiate between true malfunctions versus pseudo-malfunctions.
3) To recognize ECG patterns that may appear abnormal but are actually due to the normal operation of complex pacemaker algorithms.
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- Optimal lead placement and device programming are important for response. Follow-up optimization of atrioventricular and interventricular delays can improve outcomes.
Routine Follow-Up of CRT Patients (ECG, Device Stored Information & Regular F...
Routine Follow-Up of CRT Patients (ECG, Device Stored Information & Regular F...Taiwan Heart Rhythm Society
This document discusses routine follow-up procedures for patients with cardiac resynchronization therapy (CRT) devices. It recommends using the PBL-STOP method to review the patient's presenting rhythm, battery status, lead status, sensing, thresholds, and observations from the device. The device can provide 14 months of trended data on arrhythmias, activity levels, and fluid status that should be compared to the patient's reported symptoms. The trends can help assess issues like atrial fibrillation, heart rate variability, day and night heart rates, activity levels, fluid buildup, and how much pacing is received. The trend information should be evaluated to see if it matches any signs of worsening heart failure.Coronary sinus review
The document discusses the anatomy of the coronary sinus and its tributaries. It provides details on:
- The coronary sinus drains into the right atrium and receives blood from the ventricular veins. Its tributaries include the anterior interventricular vein, great cardiac vein, left marginal vein, and middle cardiac vein.
- The document describes the normal anatomy and variations of the coronary sinus that can be identified on imaging. It also discusses the embryological development and valves within the coronary sinus.
- Understanding coronary sinus anatomy is important for electrophysiology procedures and surgeries that utilize the coronary sinus, such as pacing and ablation procedures.
A D V A N C E D P A C I N G
This document provides an overview of advanced pacing concepts for nurses, including pacemaker modes, troubleshooting complications, thresholds, and nursing management of patients with pacemakers. It defines various pacemaker modes according to the NASPE/BPEG universal code and describes how to recognize and address failures to pace or sense, as well as loss of capture. Threshold testing and sensitivity procedures are outlined. Nursing interventions for pacemaker-related issues are also reviewed.
How to perform and interpret entrainment pacing Basics
This document provides information on entrainment pacing, including:
1) Entrainment pacing involves accelerating the rate of a tachycardia to a faster pacing rate and resuming the intrinsic tachycardia rate when pacing stops. It allows study of arrhythmia origins and pathways.
2) For entrainment to occur, there must be a gap in excitability during the tachycardia for a pacing stimulus to be delivered without terminating the arrhythmia.
3) Entrainment can be identified by constant fusion of paced and tachycardia complexes except the last paced beat, or progressive fusion at different pacing rates showing changing morphology from tachycardia to
Pacemaker Overview
The document provides an overview of pacemaker indications, functions, and operation. It discusses normal heart rhythm and conduction, abnormalities that can require pacing like sinus node dysfunction and AV block, pacemaker components, modes and how they work, factors in selecting an optimal pacing mode, and indications for various pacing therapies.
Pacemaker ECGs. Yasmeen Kamal
The document provides information about interpreting electrocardiograms (ECGs) from patients with pacemakers. It discusses various pacemaker modes, assessing capture and sensing functions, underlying cardiac rhythms, and what follow up actions may be needed based on the ECG patterns. Examples are presented to illustrate dual chamber pacing, assessing atrial and ventricular sensing, pacemaker-mediated tachycardia, undersensing, failure of capture, and magnet mode behavior.
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- 30. World Headquarters Canada Latin America Medtronic, Inc. Medtronic of Canada Ltd. Medtronic USA, Inc. 710 Medtronic Parkway 6733 Kitimat Road Doral Corporate Center II Minneapolis, MN 55432-5604 Mississauga, Ontario L5N 1W3 3750 NW 87th Avenue Suite 700 USA Canada Miami, FL 33178 Tel: (763) 514-4000 Tel: (905) 826-6020 USA Fax: (763) 514-4879 Fax: (905) 826-6620 Tel: (305) 500-9328 www.medtronic.com Toll-free: 1 (800) 268-5346 Fax: (786) 709-4244 www.medtronic.com Medtronic USA, Inc. Asia Pacific Toll-free: 1 (800) 328-2518 Medtronic International, Ltd. (24-hour technical support for 16/F Manulife Plaza physicians and medical professionals) The Lee Gardens, 33 Hysan Avenue Causeway Bay Europe Hong Kong Medtronic Europe Sàrl Tel: (852) 2891 4456 Route du Molliau 31 Fax: (852) 2891 6830 CH-1131 Tolochenaz enquiryap@medtronic.com Switzerland www.medtronic.com UC198800343h EN Tel: (41 21) 802 7000 © Medtronic, Inc. 2005 All Rights Reserved Fax: (41 21) 802 7900 Printed in USA www.medtronic.com October 2005