17 results
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
Transvenous Pacing - Procedure Instructions
Step 1. Place the introducer - ideally in R IJ or L
Prep the Pacer Wire ... - Connect the Pacer ... - Insert the pacer ... Adjust Pacer Settings ... Transvenous #Pacing #Pacemaker
RV wall perforation from pacer wire on POCUS

Patient with severe chest pain since last night. SC
wire on POCUS ... History: Had pacer ... wire. ... perforation #wall #PPM ... #Pacemaker #POCUS
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
Temporary / External Pacing
 • Transvenous & epicardial pacing are temporary methods of supporting brady- &
permanent implanted pacemaker ... how often the pacer ... will fire OUTPUT ... MD @nickmmark #pacemaker ... #PPM #Temporary
Pacemaker Wire RV Perforation on POCUS Echocardiogram
Check out this clip of an elderly patient with a
Pacemaker Wire RV ... Perforation on POCUS ... POCUS cinched the ... perforation by a pacer ... wire with impending
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
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
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