Case reports from Michael Rosengarten: Difference between revisions

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====Ventricular Pacing====  
====Ventricular Pacing====  
*[[McGill Case 126|VVI with ladder diagram]]  
*[[McGill Case 124|VVI with ladder diagram]]  
*[[McGill Case 127|Ventricular paced rhythm with atrial flutter]]  
*[[McGill Case 125|Ventricular paced rhythm with atrial flutter]]  
*[[McGill Case 128|VVI pacing in patient with first degree A/V block]]  
*[[McGill Case 126|VVI pacing in patient with first degree A/V block]]  
*[[McGill Case 129|Ventricular paced rhythm with atrial flutter after A/V nodal ablation.]]  
*[[McGill Case 127|Ventricular paced rhythm with atrial flutter after A/V nodal ablation.]]  
*[[McGill Case 130|The effect of an acute myocardial infarction on the EKG of VVI pacing]]  
*[[McGill Case 128|The effect of an acute myocardial infarction on the EKG of VVI pacing]]  
*[[McGill Case 131|Failure to pace or a recording artifact? This is a recording from a patient with a Medtronic implantable defibrillator which also functions as a VVI pacemaker.]]  
*[[McGill Case 129|Failure to pace or a recording artifact? This is a recording from a patient with a Medtronic implantable defibrillator which also functions as a VVI pacemaker.]]  
*[[McGill Case 132|Lead failure in a recently replaced VVI pacemaker.]]  
*[[McGill Case 130|Lead failure in a recently replaced VVI pacemaker.]]  
*[[McGill Case 133|Escape/capture bigemini]]  
*[[McGill Case 131|Escape/capture bigemini]]  
*[[McGill Case 134|A rate responsive pacemaker with a respiratory sensor]]  
*[[McGill Case 132|A rate responsive pacemaker with a respiratory sensor]]  
*[[McGill Case 135|A recording showing rate hysteresis]]  
*[[McGill Case 133|A recording showing rate hysteresis]]  
*[[McGill Case 136|Pacing during ventricular fibrillation and failure to capture after a 360 joule shock.]]
*[[McGill Case 134|Pacing during ventricular fibrillation and failure to capture after a 360 joule shock.]]


===Pacing conduction patterns===  
===Pacing conduction patterns===  
*[[McGill Case 137|A 12 lead electrocardiogram from a patient with a lead pacing the left ventricle.]]  
*[[McGill Case 135|A 12 lead electrocardiogram from a patient with a lead pacing the left ventricle.]]  
*[[McGill Case 138|Tracings from a the same patient with right atrial appendage stimulation, R.V. septal and apical stimulation.]]  
*[[McGill Case 136|Tracings from a the same patient with right atrial appendage stimulation, R.V. septal and apical stimulation.]]  
*[[McGill Case 139|A tracing from a patient with Mobitz I AV block where the AV conduction stops with VDD pacing even with a long sensed to paced interval of 300ms.]]
*[[McGill Case 137|A tracing from a patient with Mobitz I AV block where the AV conduction stops with VDD pacing even with a long sensed to paced interval of 300ms.]]
   
   
===Pacemaker interactions===
===Pacemaker interactions===
*[[McGill Case 140|A patient with two pacemakers, a DDD and a VVI .R which is at end of life]]  
*[[McGill Case 138|A patient with two pacemakers, a DDD and a VVI .R which is at end of life]]  
*[[McGill Case 141|Myopotential inhibition of a VVI.R pacemaker]]  
*[[McGill Case 139|Myopotential inhibition of a VVI.R pacemaker]]  
*[[McGill Case 142|Suppression of a VVI pacemaker with an external pacemaker]]
*[[McGill Case 140|Suppression of a VVI pacemaker with an external pacemaker]]
   
   
===Pacemaker Pacing Artifacts===
===Pacemaker Pacing Artifacts===
*[[McGill Case 143|Bipolar ventricular paced rhythm with atrial flutter after A/V nodal ablation.]]  
*[[McGill Case 141|Bipolar ventricular paced rhythm with atrial flutter after A/V nodal ablation.]]  
*[[McGill Case 144|Unipolar ventricular paced rhythm with atrial flutter]]  
*[[McGill Case 142|Unipolar ventricular paced rhythm with atrial flutter]]  


===Pacemaker Follow-up===  
===Pacemaker Follow-up===  
====Unusual rhythms====
====Unusual rhythms====
*[[McGill Case 145|Bigemini with magnet over the pacemaker]]  
*[[McGill Case 143|Bigemini with magnet over the pacemaker]]  
*[[McGill Case 146|Bigemini with atrial threshold testing]]  
*[[McGill Case 144|Bigemini with atrial threshold testing]]  
*[[McGill Case 147|Conversion of atrial flutter with rapid atrial pacing followed by nodal rhythm ]]
*[[McGill Case 145|Conversion of atrial flutter with rapid atrial pacing followed by nodal rhythm ]]


====Threshold Testing====  
====Threshold Testing====  
*[[McGill Case 148|3 lead rhythm strip with DDD pacemaker and normal magnet response]]  
*[[McGill Case 146|3 lead rhythm strip with DDD pacemaker and normal magnet response]]  
*[[McGill Case 149|Pulse amplitude threshold testing for a ventricular pacemaker]]  
*[[McGill Case 147|Pulse amplitude threshold testing for a ventricular pacemaker]]  
*[[McGill Case 150|Atrial threshold testing]]  
*[[McGill Case 148|Atrial threshold testing]]  
*[[McGill Case 151|Atrial threshold testing in a DDD pacer using the AAI mode]]  
*[[McGill Case 149|Atrial threshold testing in a DDD pacer using the AAI mode]]  
*[[McGill Case 152|Atrial threshold testing in a model 2102 pacemaker]]  
*[[McGill Case 150|Atrial threshold testing in a model 2102 pacemaker]]  
*[[McGill Case 153|PVCs interfering with ventricular threshold testing]]  
*[[McGill Case 151|PVCs interfering with ventricular threshold testing]]  
*[[McGill Case 154|The effect of a long AV interval on atrial threshold testing of a DDD Pacer]]
*[[McGill Case 152|The effect of a long AV interval on atrial threshold testing of a DDD Pacer]]
*[[McGill Case 155|Threshold testing inducing asystole in a 21 year old patient with congenital complete heart block.]]  
*[[McGill Case 153|Threshold testing inducing asystole in a 21 year old patient with congenital complete heart block.]]  
*[[McGill Case 156|Two pacemakers, DDD and VVI with atrial capture in one and ventricular in the other]]  
*[[McGill Case 154|Two pacemakers, DDD and VVI with atrial capture in one and ventricular in the other]]  


====Strength duration curves====
====Strength duration curves====
*[[McGill Case 157|A strength/duration curve from an atrial lead.]]  
*[[McGill Case 155|A strength/duration curve from an atrial lead.]]  
*[[McGill Case 158|A strength/duration curve from a ventricular lead.]]
*[[McGill Case 156|A strength/duration curve from a ventricular lead.]]
   
   
====Time dependent capture====  
====Time dependent capture====  
====Pacemaker system failure====  
====Pacemaker system failure====  
*[[McGill Case 159|Pacemaker pacing failure and Mobitz II A/V block in a patient with a history of Torsade de Pointe and three degree heart block.]]  
*[[McGill Case 157|Pacemaker pacing failure and Mobitz II A/V block in a patient with a history of Torsade de Pointe and three degree heart block.]]  
*[[McGill Case 160|A patient with a failing ventricular lead due to a subclavian crush.]]  
*[[McGill Case 158|A patient with a failing ventricular lead due to a subclavian crush.]]  


====Trans-telephonic EKG recordings====  
====Trans-telephonic EKG recordings====  
*[[McGill Case 161|Trans-telephonic pacemaker check failure to capture]]  
*[[McGill Case 159|Trans-telephonic pacemaker check failure to capture]]  
*[[McGill Case 162|Trans-telephonic pacemaker check: Failure to capture. A patient in the high Arctic.]]  
*[[McGill Case 160|Trans-telephonic pacemaker check: Failure to capture. A patient in the high Arctic.]]  
*[[McGill Case 163|Trans-telephonic pacemaker check at the MUHC (instructions)]]
*[[McGill Case 161|Trans-telephonic pacemaker check at the MUHC (instructions)]]
   
   
====Trans-telephonic Audio recordings====  
====Trans-telephonic Audio recordings====  
*[[McGill Case 164|The EKG and sound of a Medtronic VVI.P pacemaker with the magnet applied near the end of the recording]]  
*[[McGill Case 162|The EKG and sound of a Medtronic VVI.P pacemaker with the magnet applied near the end of the recording]]  
*[[McGill Case 165|Recording of end of life indication with magnet applied to VVI pacemaker]]  
*[[McGill Case 163|Recording of end of life indication with magnet applied to VVI pacemaker]]  
*[[McGill Case 166|A pacemaker that required inversion of the programming head for programming. The pacemaker could not be programmed in the usual manner in the pacemaker clinic. The pacemaker was implanted correctly with the conducting window toward the skin, but was a left-sided model which differed from the previous x-ray outline of the right-sided model. Having to invert the programming head suggests a problem with the programming head, inverted implantation of the pacemaker, or because the pacemaker electronics are functioning as a contra-lateral pacemaker.]]  
*[[McGill Case 164|A pacemaker that required inversion of the programming head for programming. The pacemaker could not be programmed in the usual manner in the pacemaker clinic. The pacemaker was implanted correctly with the conducting window toward the skin, but was a left-sided model which differed from the previous x-ray outline of the right-sided model. Having to invert the programming head suggests a problem with the programming head, inverted implantation of the pacemaker, or because the pacemaker electronics are functioning as a contra-lateral pacemaker.]]  
*[[McGill Case 167|Lecture on pacemaker follow-up November 1998]]
*[[McGill Case 165|Lecture on pacemaker follow-up November 1998]]


===Defibrillation and Cardioversion===
===Defibrillation and Cardioversion===
====External Cardioversion/defibrillation====  
====External Cardioversion/defibrillation====  
*[[McGill Case 168|Recording of a series of shocks for Atrial Flutter]]  
*[[McGill Case 166|Recording of a series of shocks for Atrial Flutter]]  
*[[McGill Case 169|Sinus pause post cardioversion for atrial fibrillation ]]
*[[McGill Case 167|Sinus pause post cardioversion for atrial fibrillation ]]
*[[McGill Case 170|An irregular rhythm after cardioversion for atrial fibrillation]]  
*[[McGill Case 168|An irregular rhythm after cardioversion for atrial fibrillation]]  
*[[McGill Case 171|pacing during ventricular fibrillation caused by cardioversion and failure to capture after a 360 joule shock.]]  
*[[McGill Case 169|pacing during ventricular fibrillation caused by cardioversion and failure to capture after a 360 joule shock.]]  


====Implantable Defibrillators====  
====Implantable Defibrillators====  
*[[McGill Case 172|Recording from a device during a spontaneous episode of ventricular fibrillation.]]  
*[[McGill Case 170|Recording from a device during a spontaneous episode of ventricular fibrillation.]]  
*[[McGill Case 173|P.A. chest film of a patient with an implantable defibrillator and an epicardial patch and S.V.C. spring electrode.]]  
*[[McGill Case 171|P.A. chest film of a patient with an implantable defibrillator and an epicardial patch and S.V.C. spring electrode.]]  


=====Threshold Testing=====  
=====Threshold Testing=====  
*[[McGill Case 174|Defibrillation threshold testing of an implantable defibrillator (successful) followed by ventricular paced rhythm.]]  
*[[McGill Case 172|Defibrillation threshold testing of an implantable defibrillator (successful) followed by ventricular paced rhythm.]]  
*[[McGill Case 175|Defibrillation threshold testing of an implantable defibrillator (successful) followed by sinus rhythm.]]  
*[[McGill Case 173|Defibrillation threshold testing of an implantable defibrillator (successful) followed by sinus rhythm.]]  
*[[McGill Case 176|Defibrillation threshold testing of an implantable defibrillator (successful) followed by sinus rhythm. Recorded using an external defibrillator.]]  
*[[McGill Case 174|Defibrillation threshold testing of an implantable defibrillator (successful) followed by sinus rhythm. Recorded using an external defibrillator.]]  


===EKG Recordings===
===EKG Recordings===
*[[McGill Case 177|An electrocardiogram from a patient with a cardiac myoplasty stimulator.]]  
*[[McGill Case 175|An electrocardiogram from a patient with a cardiac myoplasty stimulator.]]  
*[[McGill Case 178|A problem with atrial capture with a dual chamber pacemaker with a long A/V interval.]]  
*[[McGill Case 176|A problem with atrial capture with a dual chamber pacemaker with a long A/V interval.]]  
*[[McGill Case 179|A patient post pacemaker implant. for syncope]]  
*[[McGill Case 177|A patient post pacemaker implant. for syncope]]  
*[[McGill Case 180|A rate responsive pacemaker with respiratory sensor An ECG strip from the pacemaker clinic.]]  
*[[McGill Case 178|A rate responsive pacemaker with respiratory sensor An ECG strip from the pacemaker clinic.]]  
*[[McGill Case 181|A patient post DDD pacemaker implant ECG strip and images from a patient post DDD pacemaker implant.]]
*[[McGill Case 179|A patient post DDD pacemaker implant ECG strip and images from a patient post DDD pacemaker implant.]]
*[[McGill Case 182|Patient with perforation of a temporary transvenous pacemaker Three EKGs and X-ray.]]
*[[McGill Case 180|Patient with perforation of a temporary transvenous pacemaker Three EKGs and X-ray.]]