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Pacemaker Coding Terminology
#Diagnosis #Cardiology #PPM #Pacemaker #LetterCode #Coding #Classification #Table #CoreEM
Pacemaker Coding ... Diagnosis #Cardiology #PPM ... #Pacemaker #LetterCode ... #Coding #Classification
The first three letters refer to chamber paced, chamber sensed, and response to sensed events. The
#Cardiology #PPM ... #Pacemaker #LetterCode ... #Coding #Classification
Pacemaker Operating Modes
1 - Chamber paced
     A (atrium), V (ventricle), D (dual/both)
2
Pacemaker Operating ... depolarization before pacing ... inhibit or trigger a pacing ... #PPM #Operating ... #Modes #Pacing
Pacemaker Timing Settings
 • Lower rate limit (50-60 bpm) - The lowest rate at which the
Pacemaker Timing ... sensed or paced atrial ... depolarization before pacing ... sensed by the atrial ... #PPM #Timing #Pacing
Pacemaker
There are different types of cardiac pacemakers.
Here we see a pacemaker with one lead in the
Pacemaker There ... Here we see a pacemaker ... lead in the right atrium ... Pacing both ventricles ... Biventricular #PPM
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Pacemaker Mutifocal ... and an irregular PP ... Pacemaker: VARIANT ... diagnosis #cardiology #ekg ... #ecg #electrocardiogram
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
II (3) 60-100 bpm ... : WPW, ectopic atrial ... pacemaker - QRS ... leads rsr'), V-pacemaker ... #EKG #diagnosis
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
normal • The PP ... Wandering Atrial ... Pacemaker: • ... several cycle the pacemaker ... cardiology #diagnosis #ekg
Ectopic atrial rhythm
 • The atrial rate is less than 100 bpm.
 • PR interval within
• The atrial ... less than 100 bpm ... pacemaker is in ... cardiology #diagnosis #ekg ... #ecg #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Pardee's sign" + PPD ... downsloping - Coving ... • Ventricular Pacing ... : - Pacing spike ... #ekg #electrocardiogram