11 results
Pacemaker Placement Indications
Class I:
 • Third degree block
 • Advanced 2nd degree block
 • Symptomatic Mobitz
Pacemaker Placement ... • Third degree block ... unclear origin • Sinus ... BrighamMedRes #Pacemaker ... #Indications #PPM
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
• During sinus ... • This is a clinically ... by a junctional pacemaker ... an infra-Hisian pacemaker ... electrocardiogram #classification
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
normal • The PP ... presence of AV block ... Wandering Atrial Pacemaker ... several cycle the pacemaker ... electrocardiogram #variants #clinical
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Differential Diagnosis Algorithm ... • Sick Sinus ... Syndrome • SA Block ... • AV Block (ISt ... Differential #Diagnosis #Algorithm
Pacemaker Indications
Class I
 • Symptomatic sinus node dysfunction
 • 3° AV or type 2 2° AV
Pacemaker Indications ... • Symptomatic sinus ... or type 2 2° AV block ... etiology with sinus ... #PPM #indications
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 ... through the coronary sinus ... #Clinical #Radiology ... Biventricular #PPM
Third Degree AV Block aka Complete Heart Block
 • In sinus rhythm with complete AV block,
Third Degree AV Block ... Complete Heart Block ... • In sinus rhythm ... by a junctional pacemaker ... an infra-Hisian pacemaker
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
normal • The PP ... presence of AV block ... Wandering Atrial Pacemaker ... several cycle the pacemaker ... electrocardiogram #variants #clinical
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Differential Diagnosis Algorithm ... : • Sick Sinus ... /3rd degree AV Block ... • Pacemaker ... Differential #Diagnosis #Algorithm
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
CAD Management Algorithm ... first consider pacemaker ... vasodilating ß-blocker ... Enroll in HFpEF clinical ... CAD #Management #Algorithm