Pacemaker syndrome other diagnostic studies: Difference between revisions
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{{Pacemaker syndrome}} | {{Pacemaker syndrome}} | ||
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==Pacemaker Interrogation== | |||
Diagnosis of pacemaker syndrome should start with pacemaker interrogation. It includes: | |||
* Ruling out excessive ventricular pacing | |||
* Looking for [[AV dissociation]]/VA conduction | |||
* Looking for [[pacemaker]] malfunctioning, battery life and mode reversal | |||
Other methods to diagnose Pacemaker Syndrome includes: | |||
* Measuring systolic time intervals | |||
* Measuring finger pulse amplitude by strain gauge | |||
* Correlating cardiac index with pulse pressure | |||
* Cuff blood pressure responses to different modes of pacing | |||
==Holter Monitoring== | |||
* Holter monitoring can be used to correlate patients' symptoms with their cardiac rhythm and is considered the best method of diagnosing pacemaker syndrome. | |||
==Blood Pressure Monitoring== | |||
* [[Systolic blood pressure]] should be measured during ventricular pacing and should be compared with that during atrial or AV synchronous pacing. | |||
* A drop of 20 mm Hg or more suggests pacemaker syndrome. | |||
==References== | ==References== | ||
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{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} | ||
{{WikiDoc Sources}} | {{WikiDoc Sources}} | ||
<ref name="pmid3910239">{{cite journal| author=Ausubel K, Boal BH, Furman S| title=Pacemaker syndrome: definition and evaluation. | journal=Cardiol Clin | year= 1985 | volume= 3 | issue= 4 | pages= 587-94 | pmid=3910239 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3910239 }}</ref> | |||
[[Category:Electrophysiology]] | [[Category:Electrophysiology]] | ||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Needs content]] | [[Category:Needs content]] | ||
[[Category:Needs overview]] | |||
<references /> | |||
Latest revision as of 03:28, 10 April 2020
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Pacemaker Interrogation
Diagnosis of pacemaker syndrome should start with pacemaker interrogation. It includes:
- Ruling out excessive ventricular pacing
- Looking for AV dissociation/VA conduction
- Looking for pacemaker malfunctioning, battery life and mode reversal
Other methods to diagnose Pacemaker Syndrome includes:
- Measuring systolic time intervals
- Measuring finger pulse amplitude by strain gauge
- Correlating cardiac index with pulse pressure
- Cuff blood pressure responses to different modes of pacing
Holter Monitoring
- Holter monitoring can be used to correlate patients' symptoms with their cardiac rhythm and is considered the best method of diagnosing pacemaker syndrome.
Blood Pressure Monitoring
- Systolic blood pressure should be measured during ventricular pacing and should be compared with that during atrial or AV synchronous pacing.
- A drop of 20 mm Hg or more suggests pacemaker syndrome.
References
- ↑ Ausubel K, Boal BH, Furman S (1985). "Pacemaker syndrome: definition and evaluation". Cardiol Clin. 3 (4): 587–94. PMID 3910239.