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Prognostic benefits of His?Purkinje capture in physiological pacemakers for bradycardia

Journal of Cardiovascular Electrophysiology

Methods Consecutive patients with bradycardia indicated for pacing from 2016 to 2022 were prospectively followed for the clinical endpoints of heart failure (HF)-hospitalizations and all-cause mortality at 2 years. 6.60) were associated with increased hazard of HF-hospitalizations, and RVP (2.52, 95% CI: 1.19–5.35)

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An unruly case of functional two-to-one atrioventricular block

HeartRhythm

A newborn male was delivered via cesarean section at term due to acute fetal distress and fetal bradycardia, necessitating emergency pacemaker implantation. During hospitalization, the infant experienced multiple seizures and episodes of hypoglycemia.

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A woman in her 70s with bradycardia and hypotension

Dr. Smith's ECG Blog

Resuscitation was initiated and this ECG was obtained: Likely AFib (irregularly irregular) with bradycardia. She was intubated and a transvenous pacemaker was inserted with good capture. In addition to marked bradycardia — could there be high-grade AV block? Atropine produced no response. She received PR aspirin.

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What are treatment options for this rhythm, when all else fails?

Dr. Smith's ECG Blog

The patient was extubated on Day-3 of the hospital stay. The patient improved, and on Day-11 of the hospital stay — he was off inotropes and on a small dose of a ß-blocker. There was no evidence bradycardia leading up to the runs of PMVT ( as tends to occur with Torsades ).

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Why is ECG machine use? What diseases can EKG monitor detect?

Wellnest

Patients use them to observe their heart activity by themselves when they are not in the hospital. Though their accuracy is not as high as a hospital ECG machine, they are very beneficial in detecting problems in any medical emergency and providing information about long-term heart activity.

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Orthostatic hypotension onset after invasive procedure?

Dr. Smith's ECG Blog

Written by Willy Frick A man in his 70s with a history of HFrEF and sick sinus syndrome s/p dual chamber pacemaker placement was admitted for overnight observation following outpatient placement of a mitral valve clip. This is unambiguous evidence of pacemaker malfunction. Imagine the pacemaker is set at a minimum rate of 60.

Pacemaker 104
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Challenging Arrhythmias — MIS-C Case Report (9-16.1-2024) - NOT_YET_FINISHED

Ken Grauer, MD

For full discussion of the case — CLICK HERE — ECG Rhythm Overview: A 12-year-old boy was admitted to our hospital with severe myocardial dysfunction and chaotic rhythm with tachy- and bradycardic arrhythmias. ECG #2: Figure-2: ECG #2 is from the 4th hospital day. In the meantime, a pacemaker may be needed. =