14 results
Pacemaker Wire and Thrombus on POCUS Echocardiogram (A4c)
Look out for boogers floating on your pacer wires
Pacemaker Wire and ... Thrombus on POCUS ... @CincySono #Pacemaker ... #ppm #Wire #Thrombus ... #POCUS #Echocardiogram
Pacemaker Placement Indications
Class I:
 • Third degree block
 • Advanced 2nd degree block
 • Symptomatic Mobitz
Pacemaker Placement ... • Mobitz II + wide ... induced 2nd or 3rd ... BrighamMedRes #Pacemaker ... #Indications #PPM
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
QRS often wide. ... • Treatment: Pacemaker ... 3rd Degree, Complete ... • Treatment: Pacemaker ... to atropine if wide
Third Degree AV Block aka Complete Heart Block
 • In sinus rhythm with complete AV block,
AV block, the PP ... by a junctional pacemaker ... • The QRS is wide ... an infra-Hisian pacemaker ... #ThirdDegree #3rd
Temporary / External Pacing
 • Transvenous & epicardial pacing are temporary methods of supporting brady- &
permanent implanted pacemaker ... the pacer will fire ... MD @nickmmark #pacemaker ... #PPM #Temporary
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Bradyarrhythmia (<60 bpm ... Block (ISt/2nd /3rd ... Tachyarrhythmias (>100 bpm ... Tachycardia - Wide ... aberrancy - Wide
Pacemaker Wire RV Perforation on POCUS Echocardiogram
Check out this clip of an elderly patient with a
Pacemaker Wire RV ... Perforation on POCUS ... with a recent pacemaker ... POCUS cinched the ... #Perforation #POCUS
RV wall perforation from pacer wire on POCUS

Patient with severe chest pain since last night. SC
perforation from pacer wire ... on POCUS Patient ... perforation from pacer wire ... perforation #wall #PPM ... #Pacemaker #POCUS
Pacemaker Wire on POCUS 

Cool image - This was an older patient who was in a
Pacemaker Wire on ... POCUS Cool image ... the patient's pacemaker ... wire ... #Clinical #POCUS
Point of Care Ultrasound for confirmation of transvenous pacing wire in right ventricle

Dr. J. Christian Fox
transvenous pacing wire ... jchristianfox #Pacemaker ... #Lead #Wire #Confirmation ... #clinical #pocus