37 results
Pacemaker Evaluation Algorithm by Lorne Costello

#Diagnosis #ECG #EKG #Pacemaker #Evaluation #Algorithm #PPM
Pacemaker Evaluation ... Algorithm by Lorne ... #Diagnosis #ECG ... #EKG #Pacemaker ... #PPM
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 ... #ecg #electrocardiogram
Pacemaker Identification Algorithm

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Pacemaker Identification ... Algorithm For ... Identification Algorithm ... #PPM #Identification ... #Algorithm
Temporary / External Pacing
 • Transvenous & epicardial pacing are temporary methods of supporting brady- &
permanent implanted pacemaker ... called an external pacer ... how often the pacer ... MD @nickmmark #pacemaker ... #PPM #Temporary
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 ... #ecg #electrocardiogram
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... II (3) 60-100 bpm ... ectopic atrial pacemaker ... , ↑K, ICD/pacer ... #Approach #ECG
Pacemaker Placement Indications
Class I:
 • Third degree block
 • Advanced 2nd degree block
 • Symptomatic Mobitz
Pacemaker Placement ... unclear origin • Sinus ... BrighamMedRes #Pacemaker ... #Indications #PPM
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
"Sinus Tach" at ... ~150 bpm is your ... EM #Cardiology #ECG
Wandering atrial pacemaker - ECG Diagnosis
 • The change in P wave contour is gradual
 •
Wandering atrial pacemaker ... - ECG Diagnosis ... several cycle the pacemaker ... shifts back to the sinus ... • Variant of sinus
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... DANGER (2) Sinus ... Regular (1) Sinus ... - ventricular pacemaker ... bradyarrhythmia #ECG