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An elderly patient with syncope, dyspnea, and weakness, but no Chest Pain, and mild hyperkalemia

Dr. Smith's ECG Blog

Here is the first ED ECG: COMPUTER INTERPRETATION: Electronic Atrial Pacemaker. He has a h/o 3rd degree heart block and has a pacemaker. His pacemaker was interrogated and it was found that the pacemaker was not adquately capturing. An elderly patient had a fall from probable syncope, and could not get up. The K was 5.8

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Medtronic Receives CE Mark for its Next Generation Micra Leadless Pacing Systems

DAIC

milla1cf Fri, 01/05/2024 - 11:42 June 5, 2024 — Medtronic , a global leader in healthcare technology, today announced it has received CE (Conformité Européenne) Mark for its Micra AV2 and Micra VR2 , the next generation of its industry-leading miniature, leadless pacemakers. Launching the first pacemaker for use in MRIs in 2011.

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Predictors of the right ventricular perforation caused by active?fixation pacing and defibrillator leads: A single?centre experience

Journal of Cardiovascular Electrophysiology

Methods We conducted a retrospective observational study including 1691 consecutive patients implanted with an active fixation pacing and defibrillator lead at our institution between January 2015 and January 2021. Results Univariate and multivariate analyses were used to identify predictors of RV perforation.

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History & Future of Cardiac Remote Patient Monitoring

Vector Remote

The Beginning: The Need for Cardiac Remote Patient Monitoring The first implantable pacemaker, was developed in the late 1950s, but the first clinically successful pacemaker was implanted into a 77-year-old at a Veterans Affairs hospital in New York in 1960.

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Cardioneuroablation for pediatric patients with functional sinus node dysfunction and paroxysmal atrioventricular block

Journal of Cardiovascular Electrophysiology

Patients with SP or AVB, 21 years of age or younger, who underwent CNA between 2015 and 2021 were included. Conclusion CNA may be an effective alternative to pacemaker implantation in pediatric patients with syncope or significant symptoms secondary to functional SP or AVB. Methods This is a single-center, case series study.

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2023 Expert Consensus Statement for Remote Device Clinics

Vector Remote

The Heart Rhythm Society recently unveiled the new 2023 HRS/EHRA/APHRS/LAHRS Expert Consensus Statement on Practical Management of the Remote Device Clinic , marking significant progress since the previous 2015 version, which originally identified remote monitoring as the standard of care for implantable cardiac device clinics.

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A man in his 70s with acute chest pain and paced rhythm.

Dr. Smith's ECG Blog

Edits by Meyers and Smith A man in his 70s with PMH of hypertension, hyperlipidemia, type 2 diabetes, CVA, dual-chamber Medtronic pacemaker, presented to the ED for evaluation of acute chest pain. American Heart Journal 170(6):1255-1264; December 2015. Sent by Pete McKenna M.D. Triage ECG: What do you think? I cannot be anything else.