HeartRhythm
OCTOBER 21, 2024
The most common masses on pacemaker leads are thrombi and infective endocarditis(1). Neoplasms attached to pacemaker leads are less frequently encountered. More recently, percutaneous aspiration techniques were used in selected cases of lead-related thrombosis and infective endocarditis(2).
Ken Grauer, MD
FEBRUARY 28, 2023
MAT is not a Wandering Pacemaker. In contrast — a wandering pacemaker is often a benign rhythm ( if not a normal variant ) — in which the heart rate is slower and there is a gradual shift in P wave morphology over a period of several beats, most often occurring in an otherwise healthy and asymptomatic patient. Acute pulmonary embolus.
EMS 12-Lead
JUNE 20, 2022
Although the attending crews did not consider the ECG pathognomonic for occlusive thrombosis, they nonetheless considered the patient high-risk for ACS and implored him to reconsider. I initially suspected V2 as being placed too high on the chest, but there is no accompanying inverted P wave here, so the positioning is sound.
DAIC
MAY 15, 2024
“Our findings support the comparable long-term safety and efficacy of TAVR, as well as raise important considerations for valve type selection, particularly when we are dealing with longer-term valve durability and pacemaker implantation.” The results were consistent across different surgical risk profiles (low, intermediate, and high).
Dr. Smith's ECG Blog
OCTOBER 3, 2018
The medics recorded the following initial ECG at time 0: The computer read (see below) gives no further comment beyond ventricular pacemaker. For this analysis, ACO was defined as angiographic evidence of coronary thrombosis with peak cardiac troponin-I (cTn-I) at least 10 ng/mL or cTn-T ≥ 1 ng/ mL. What do you think?
Dr. Smith's ECG Blog
MARCH 8, 2025
2:34 PM, following right heart catheterization She then went into atrial fibrillation with complete heart block and junctional escape rhythm prompting placement of transvenous pacemaker. The catheter was out of the body and the arteriotomy had been closed, so there is no pressure waveform. In the midst of this, she went into VF.
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