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Pacemaker Stimulation Criticism at ECG

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New Concepts in ECG Interpretation

Abstract

Cardiac implantable electronic devices’ (CIEDs) numbers have grown up worldwide over the last years [1]. At the same time, functions and algorithms’ complexity implementation also expanded. It will be therefore more and more frequent for the clinician to deal with pacemaker (PM) ECGs and unusual device behaviors, particularly when they mimic pseudo-malfunctions. In this chapter, we present some examples of challenging electrocardiograms, aiming to show how the clinician, just by analyzing the ECG, could reach or at least suspect the correct diagnosis.

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References

  1. Arribas F, Auricchio A, Boriani G, et al. Statistics on the use of cardiac electronic devices and electrophysiological procedures in 55 ESC countries: 2013 report from the European Heart Rhythm Association (EHRA). Europace. 2014;16:i1–78.

    Article  Google Scholar 

  2. DAVID Trial Investigators. Dual-chamber pacing or ventricular backup pacing in patients with an implantable defibrillator: the dual chamber and VVI implantable defibrillator (DAVID) trial. JAMA. 2002;288:3115–23.

    Article  Google Scholar 

  3. Mulpuru SK, Madhavan M, Mcleod CJ, et al. Cardiac pacemakers: function, troubleshooting, and management. J Am Coll Cardiol. 2017;69(2):189–210.

    Article  Google Scholar 

  4. Bastian D, Fessele K. Strategies and pacemaker algorithms for avoidance of unnecessary right ventricular stimulation. In: Roka A, editor. Current issues and recent advances in pacemaker therapy. London: InTech; 2012. https://doi.org/10.5772/48747. Available from https://www.intechopen.com/books/current-issues-and-recent-advances-in-pacemaker-therapy/strategies-and-pacemaker-algorithms-for-avoidance-of-unnecessary-right-ventricular-stimulation.

    Google Scholar 

  5. Lloyd MS, El Chami MF, Langberg JJ. Pacing features that mimic malfunction: a review of current programmable and automated device functions that cause confusion in the clinical setting. Cardiovasc Electrophysiol. 2009;20(4):453–60.

    Article  Google Scholar 

  6. Hermosura T, Bradshaw WT. Wolff-Parkinson-White syndrome in infants. Neonatal Netw J Neonatal Nurs. 2010;29(4):215–23.

    Article  Google Scholar 

  7. Gregg RE, Zhou SH, Dubin AM. Automated detection of ventricular pre-excitation in pediatric 12-lead ECG. J Electrocardiol. 2016;49(1):37–41.

    Article  Google Scholar 

  8. Garg N, Moorthy N. Inadvertent temporary pacemaker lead placement in aortic sinus. Heart Views. 2013;14(4):182–4.

    Article  Google Scholar 

  9. García-Bengochea J, Rubio J, Sierra J, Fernández A. Pacemaker migration into the pouch of Douglas. Texas Hear Inst J. 2003;30(1):83.

    Google Scholar 

  10. Reade MC. Temporary epicardial pacing after cardiac surgery: a practical review part 1. Anaesthesia. 2007;62(3):264–71.

    Article  CAS  Google Scholar 

  11. Reade MC. Temporary epicardial pacing after cardiac surgery: a practical review part 2. Anaesthesia. 2007;62(4):364–73.

    Article  CAS  Google Scholar 

  12. Timperley PL, Mitchell ARJ, et al. Oxford specialist handbooks in cardiology: pacemakers and ICDs. Oxford: Oxford University Press; 2008. p. 104–5.

    Google Scholar 

  13. Safavi-Naeini P, Saeed M. Pacemaker troubleshooting: common clinical scenarios. Tex Heart Inst J. 2016;43(5):415–8.

    Article  Google Scholar 

  14. Haghjoo M. Pacing system malfunction: evaluation and troubleshooting. In: Das MR, editor. Modern pacemakers - present and future. London: InTech; 2011. ISBN: 978-953-307-214-2. Available from: http://www.intechopen.com/books/modern-pacemakers-present-and-future/pacing-system-malfunctionevaluation-and-troubleshooting.

    Google Scholar 

  15. Marx J, Walls R, Hockberger R. Rosen’s emergency medicine: concepts and clinical practice. 7th ed. Philadelphia: Mosby/Elsevier; 2013. p. 1027–32.

    Google Scholar 

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Bonelli, P., Guidotti, G., Paolini, E., Spinucci, G. (2019). Pacemaker Stimulation Criticism at ECG. In: Capucci, A. (eds) New Concepts in ECG Interpretation. Springer, Cham. https://doi.org/10.1007/978-3-319-91677-4_16

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  • DOI: https://doi.org/10.1007/978-3-319-91677-4_16

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-91676-7

  • Online ISBN: 978-3-319-91677-4

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