16 results
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
Pacemaker Complications
 • Implantation-Related: Pocket hematoma, Infection (pocket), Pneumothorax, Hemothorax, Lead dislodgement, Cardiac perforation / tamponade
Pacemaker Complications ... Thrombosis / stenosis, Pacing-induced ... cardiomyopathy, Pacemaker ... /EricsMedi #Pacemaker ... #PPM #complications
Transvenous Pacing - Procedure Instructions
Step 1. Place the introducer - ideally in R IJ or L
Transvenous Pacing ... Prep the Pacer Wire ... - Connect the Pacer ... #Transvenous #Pacing ... #Pacemaker #Procedure
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 Wire and Thrombus on POCUS Echocardiogram (A4c)
Look out for boogers floating on your pacer wires
Pacemaker Wire and ... Thrombus on POCUS ... floating on your pacer ... #ppm #Wire #Thrombus ... #POCUS #Echocardiogram
Pacemaker
There are different types of cardiac pacemakers.
Here we see a pacemaker with one lead in the
Pacemaker There ... types of cardiac pacemakers ... Here we see a pacemaker ... Pacing both ventricles ... Biventricular #PPM
Pacemaker Timing Settings
 • Lower rate limit (50-60 bpm) - The lowest rate at which the
Pacemaker Timing ... period of time the pacemaker ... depolarization before pacing ... would trigger pacemaker-mediated ... #PPM #Timing #Pacing
RV wall perforation from pacer wire on POCUS

Patient with severe chest pain since last night. SC
wire on POCUS ... with severe chest pain ... History: Had pacer ... perforation #wall #PPM ... #Pacemaker #POCUS
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
II (3) 60-100 bpm ... ectopic atrial pacemaker ... leads rsr'), V-pacemaker ... , ↑K, ICD/pacer
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 by a pacer