Designed specifically for clinicians new to device therapy, The Nuts and Bolts of Paced ECG Interpretation offers practical, reliable and objective information on paced cardiac electrograms.
Written in a lively, intelligent and easy to navigate style, emphasizing real-life clinical practice and practical tips, this book includes illustrated paced ECGs by skilled artists to help minimize “fuzzy” lines and emphasize key points. Each chapter concludes with a checklist of key points from each subject.
Contents
Part I: Timing Cycles and Troubleshooting Review
- Calculating rates and intervals
- Pacing spikes
- The basics of capture and sensing
- In depth: modes
- Ventricular sensing
- Pacing intervals
- Loss of capture
- Oversensing
- In depth: sensing
- QRS morphologies
- Fusion and pseudofusion
- In depth: single-chamber timing cycles
- Intermittent oversensing
- Undersensing
- Hysteresis intervals
- In depth: hysteresis
- Rate response
- Annotated ECGs
- AV synchrony
- Atrial tracking
- AV conduction
- States of dual-chamber pacing
- Maximum tracking rate
- Pacemaker multiblock
- Pacemaker wenckebach
- Pacemaker-mediated tachycardia
- Mode switching
- in depth: upper-rate behavior in dual-chamber pacemakers
- Troubleshooting the paced ECG
- More troubleshooting the paced ECG
- Automatic capture algorithms
- Capture testing
- In depth: basic troubleshooting guide
- Navigating the intracardiac electrogram
- Tracings from a programmer
- Stored electrograms
- In depth: electrograms
- Conclusion
Part II: Workbook
- Introduction to Workbook
- Easy
- Moderate
- Tough
- Scramble
Index
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