15 results
Pacemaker Wire and Thrombus on POCUS Echocardiogram (A4c)
Look out for boogers floating on your pacer wires
Pacemaker Wire and ... Thrombus on POCUS ... @CincySono #Pacemaker ... #ppm #Wire #Thrombus ... #POCUS #Echocardiogram
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
Pacemaker Operating Modes
1 - Chamber paced
     A (atrium), V (ventricle), D (dual/both)
2
Pacemaker Operating ... period of time the pacemaker ... inappropriate tracking of retrograde ... The voltage the pacemaker ... #PPM #Operating
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
Pacemaker Timing Settings
 • Lower rate limit (50-60 bpm) - The lowest rate at which the
Pacemaker Timing ... period of time the pacemaker ... inappropriate tracking of retrograde ... would trigger pacemaker-mediated ... #PPM #Timing #Pacing
Temporary / External Pacing
 • Transvenous & epicardial pacing are temporary methods of supporting brady- &
permanent implanted pacemaker ... the pacer will fire ... 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 ... with a recent pacemaker ... POCUS cinched the ... #Perforation #POCUS
RV wall perforation from pacer wire on POCUS

Patient with severe chest pain since last night. SC
perforation from pacer wire ... on POCUS Patient ... perforation from pacer wire ... perforation #wall #PPM ... #Pacemaker #POCUS
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