Pacemaker syndrome other diagnostic studies: Difference between revisions
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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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==Holter Monitoring== | ==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. | |||
* 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== | ==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. | |||
* [[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 Sources}} | {{WikiDoc Sources}} | ||
[[Category:Electrophysiology]] | [[Category:Electrophysiology]] | ||
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[[Category:Needs content]] | [[Category:Needs content]] | ||
[[Category:Needs overview]] | [[Category:Needs overview]] | ||
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Revision as of 03:27, 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.