Dr. Smith's ECG Blog
JANUARY 13, 2024
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.
DAIC
FEBRUARY 14, 2024
Select procedures performed outside the hospital setting—such as diagnostic cardiac catheterization, non-acute percutaneous coronary interventions and defibrillator and pacemaker implantations—closely intersect with existing data collection occurring in the NCDR CathPCI Registry and EP Device Implant Registry.
Dr. Smith's ECG Blog
JANUARY 2, 2025
Place temporary pacemaker 3. Discontinue all negative chronotropic agents, since the risk of torsade is much higher with bradycardia or pauses. See this post: How a pause can cause cardiac arrest 2. Discontinue amiodarone, since it prolongs the QT 4. Discontinue all QT proloning medications, including azithromycin 6.
Dr. Smith's ECG Blog
JUNE 27, 2024
They knew she would need a pacemaker unless some transient and reversible cause was discovered. Once this happens, of course, the patient will require temporary or permanent pacemaker as soon as possible. She required intermittent pacing from the temp wire numerous times overnight so a permanent pacemaker was placed the next day.
Dr. Smith's ECG Blog
SEPTEMBER 29, 2023
Hopefully his outpatient EP appointment will understand and correct that. No use of drugs, stimulants, etc. was discovered. Unfortunately the patient was erroneously diagnosed with "SVT / atrial fibrillation" and put on apixaban!!! See more posts on the atrial repolarization wave: K.
Dr. Smith's ECG Blog
JUNE 14, 2017
He was discharged and schedule for an outpatient echo which has not been done yet. A Patient with Ischemic symptoms and a Biventricular Pacemaker : ) Ken Case Outcome: The patient had never had any cardiopulmonary complaints, was otherwise completely healthy. He was admitted overnight and had no complications. Is there STEMI?
European Journal of Heart Failure
OCTOBER 22, 2024
AF, atrial fibrillation; CI, confidence interval; CV, cardiovascular; FU, follow-up; HFH, heart failure hospitalization; ICD, implantable cardioverter-defibrillator; LVEF, left ventricular ejection fraction; NYHA, New York Heart Association; PPM, permanent pacemaker; RCT, randomized controlled trial.
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