Pacemaker syndrome other diagnostic studies: Difference between revisions
Sara Usman (talk | contribs) →Pacemaker Interrogation: <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= |
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* Looking for [[AV dissociation]]/VA conduction | * Looking for [[AV dissociation]]/VA conduction | ||
* Looking for [[pacemaker]] malfunctioning, battery life and mode reversal | * 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== | ||
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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]] | ||
Revision as of 00:51, 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.