Case reports from Michael Rosengarten: Difference between revisions

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=====Threshold Testing=====  
=====Threshold Testing=====  
*[[McGill Case 143|3 lead rhythm strip with DDD pacemaker and normal magnet response]]  
*[[McGill Case 143|3 lead rhythm strip with DDD pacemaker and normal magnet response]]  
*[[McGill Case 144|Pulse amplitude threshold testing for a ventricular pacemaker]]  
*[[McGill Case 144|Pulse amplitude threshold testing for a ventricular pacemaker]]
======Atrial threshold testing======  
======Atrial threshold testing======  
*[[McGill Case 145|Atrial threshold testing in a DDD pacer using the AAI mode]]  
*[[McGill Case 145|Atrial threshold testing in a DDD pacer using the AAI mode]]  
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=====Time dependent capture=====  
=====Time dependent capture=====  
*[[McGill Case 153|Example one (ventricular)]]
*[[McGill Case 154|Example two (ventricular)]]
*[[McGill Case 155|Example three (ventricular)]]
*[[McGill Case 156|Example four (ventricular)]]
*[[McGill Case 157|Example five (dual chamber pacer)]]
*[[McGill Case 158|Example six (dual chamber pacer)]]
=====Pacemaker system failure=====  
=====Pacemaker system failure=====  
*[[McGill Case 153|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 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 154|A patient with a failing ventricular lead due to a subclavian crush.]]  
*[[McGill Case 160|A patient with a failing ventricular lead due to a subclavian crush.]]  


=====Trans-telephonic EKG recordings=====  
=====Trans-telephonic EKG recordings=====  
*[[McGill Case 155|Trans-telephonic pacemaker check failure to capture]]  
*[[McGill Case 161|Trans-telephonic pacemaker check failure to capture]]  
*[[McGill Case 156|Trans-telephonic pacemaker check: Failure to capture. A patient in the high Arctic.]]  
*[[McGill Case 162|Trans-telephonic pacemaker check: Failure to capture. A patient in the high Arctic.]]  
*[[McGill Case 158|Trans-telephonic pacemaker check at the MUHC (instructions)]]
*[[McGill Case 163|Trans-telephonic pacemaker check at the MUHC (instructions)]]
   
   
=====Trans-telephonic Audio recordings=====  
=====Trans-telephonic Audio recordings=====  
*[[McGill Case 159|The EKG and sound of a Medtronic VVI.P pacemaker with the magnet applied near the end of the recording]]  
*[[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 160|Recording of end of life indication with magnet applied to VVI pacemaker]]  
*[[McGill Case 165|Recording of end of life indication with magnet applied to VVI pacemaker]]  
*[[McGill Case 161|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 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 162|Lecture on pacemaker follow-up November 1998]]


===Defibrillation and Cardioversion===
===Defibrillation and Cardioversion===
=====External Cardioversion/defibrillation=====  
=====External Cardioversion/defibrillation=====  
*[[McGill Case 163|Recording of a series of shocks for Atrial Flutter]]  
*[[McGill Case 167|Recording of a series of shocks for Atrial Flutter]]  
*[[McGill Case 164|Sinus pause post cardioversion for atrial fibrillation ]]
*[[McGill Case 168|Sinus pause post cardioversion for atrial fibrillation ]]
*[[McGill Case 165|An irregular rhythm after cardioversion for atrial fibrillation]]  
*[[McGill Case 169|An irregular rhythm after cardioversion for atrial fibrillation]]  
*[[McGill Case 166|pacing during ventricular fibrillation caused by cardioversion and failure to capture after a 360 joule shock.]]  
*[[McGill Case 170|pacing during ventricular fibrillation caused by cardioversion and failure to capture after a 360 joule shock.]]  


=====Implantable Defibrillators=====  
=====Implantable Defibrillators=====  
*[[McGill Case 167|Recording from a device during a spontaneous episode of ventricular fibrillation.]]  
*[[McGill Case 171|Recording from a device during a spontaneous episode of ventricular fibrillation.]]  
*[[McGill Case 168|P.A. chest film of a patient with an implantable defibrillator and an epicardial patch and S.V.C. spring electrode.]]  
*[[McGill Case 172|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 169|Defibrillation threshold testing of an implantable defibrillator (successful) followed by ventricular paced rhythm.]]  
*[[McGill Case 173|Defibrillation threshold testing of an implantable defibrillator (successful) followed by ventricular paced rhythm.]]  
*[[McGill Case 170|Defibrillation threshold testing of an implantable defibrillator (successful) followed by sinus rhythm.]]  
*[[McGill Case 174|Defibrillation threshold testing of an implantable defibrillator (successful) followed by sinus rhythm.]]  
*[[McGill Case 171|Defibrillation threshold testing of an implantable defibrillator (successful) followed by sinus rhythm. Recorded using an external defibrillator.]]  
*[[McGill Case 175|Defibrillation threshold testing of an implantable defibrillator (successful) followed by sinus rhythm. Recorded using an external defibrillator.]]
 
===ECG Recordings===
*[[McGill Case 176|An electrocardiogram from a patient with a cardiac myoplasty stimulator.]]
*[[McGill Case 177|A problem with atrial capture with a dual chamber pacemaker with a long A/V interval.]]
*[[McGill Case 178|A patient post pacemaker implant. for syncope]]
*[[McGill Case 179|A rate responsive pacemaker with respiratory sensor An ECG strip from the pacemaker clinic.]]
*[[McGill Case 180|A patient post DDD pacemaker implant ECG strip and images from a patient post DDD pacemaker implant.]]
*[[McGill Case 181|Patient with perforation of a temporary transvenous pacemaker Three EKGs and X-ray.]]
 
==The Normal ECG==
*[[McGill Case 182|Case One]]
*[[McGill Case 183|Case Two]]
*[[McGill Case 184|Case Three]]
*[[McGill Case 185|Case Four]]
*[[McGill Case 186|Case Five]]
*[[McGill Case 187|Case Six]]
*[[McGill Case 188|Case Seven]]
*[[McGill Case 189|Case Eight]]
*[[McGill Case 190|Case Nine]]


===EKG Recordings===
==Super Puzzler==
*[[McGill Case 172|An electrocardiogram from a patient with a cardiac myoplasty stimulator.]]  
*[[McGill Case 191|1]]
*[[McGill Case 173|A problem with atrial capture with a dual chamber pacemaker with a long A/V interval.]]  
*[[McGill Case 192|2]]
*[[McGill Case 174|A patient post pacemaker implant. for syncope]]  
*[[McGill Case 193|3]]
*[[McGill Case 175|A rate responsive pacemaker with respiratory sensor An ECG strip from the pacemaker clinic.]]  
*[[McGill Case 194|4]]
*[[McGill Case 176|A patient post DDD pacemaker implant ECG strip and images from a patient post DDD pacemaker implant.]]
*[[McGill Case 195|5]]
*[[McGill Case 177|Patient with perforation of a temporary transvenous pacemaker Three EKGs and X-ray.]]
*[[McGill Case 196|6]]
*[[McGill Case 197|7]]
*[[McGill Case 198|8]]
*[[McGill Case 199|9]]
*[[McGill Case 200|10]]
*[[McGill Case 201|11]]
*[[McGill Case 202|12]]
*[[McGill Case 203|13]]
*[[McGill Case 204|14]]
*[[McGill Case 205|15]]
*[[McGill Case 206|16]]
*[[McGill Case 207|17]]
*[[McGill Case 208|18]]
*[[McGill Case 209|19]]
*[[McGill Case 210|20]]
*[[McGill Case 211|21]]
*[[McGill Case 212|22]]
*[[McGill Case 213|23]]
*[[McGill Case 214|24]]
*[[McGill Case 215|25]]
*[[McGill Case 216|26]]
*[[McGill Case 217|27]]
*[[McGill Case 218|28]]
*[[McGill Case 219|29]]
*[[McGill Case 220|30]]
*[[McGill Case 221|31]]
*[[McGill Case 222|32]]
*[[McGill Case 223|33]]
*[[McGill Case 224|34]]
*[[McGill Case 225|35]]
*[[McGill Case 226|36]]
*[[McGill Case 227|37]]
*[[McGill Case 228|38]]
*[[McGill Case 229|39]]
*[[McGill Case 230|40]]
*[[McGill Case 231|41]]
*[[McGill Case 232|42]]
*[[McGill Case 233|43]]
*[[McGill Case 234|44]]
*[[McGill Case 235|45]]
*[[McGill Case 236|46]]
*[[McGill Case 237|47]]
*[[McGill Case 238|48]]
*[[McGill Case 239|49]]
*[[McGill Case 240|50]]
*[[McGill Case 241|51]]
*[[McGill Case 242|52]]
*[[McGill Case 243|53]]
*[[McGill Case 244|54]]
*[[McGill Case 245|55]]
*[[McGill Case 246|56]]
*[[McGill Case 247|57]]
*[[McGill Case 248|58]]
*[[McGill Case 249|59]]
*[[McGill Case 250|60]]
*[[McGill Case 251|61]]
*[[McGill Case 252|62]]
*[[McGill Case 253|63]]
*[[McGill Case 254|64]]
*[[McGill Case 255|65]]
*[[McGill Case 256|66]]
*[[McGill Case 257|67]]
*[[McGill Case 258|68]]
*[[McGill Case 259|69]]
*[[McGill Case 260|70]]
*[[McGill Case 261|71]]
*[[McGill Case 262|72]]
*[[McGill Case 263|73]]
*[[McGill Case 264|74]]
*[[McGill Case 265|75]]
*[[McGill Case 266|76]]
*[[McGill Case 267|77]]
*[[McGill Case 268|78]]
*[[McGill Case 269|79]]
*[[McGill Case 270|80]]
*[[McGill Case 271|81]]
*[[McGill Case 272|82]]
*[[McGill Case 273|83]]
*[[McGill Case 274|84]]
*[[McGill Case 275|85]]
*[[McGill Case 276|86]]
*[[McGill Case 277|87]]
*[[McGill Case 278|88]]
*[[McGill Case 279|89]]
*[[McGill Case 280|90]]
*[[McGill Case 281|91]]
*[[McGill Case 282|92]]
*[[McGill Case 283|93]]
*[[McGill Case 284|94]]
*[[McGill Case 285|95]]
*[[McGill Case 286|96]]
*[[McGill Case 287|97]]
*[[McGill Case 288|98]]
*[[McGill Case 289|99]]
*[[McGill Case 290|100]]
*[[McGill Case 291|101]]
*[[McGill Case 292|102]]
*[[McGill Case 293|103]]
*[[McGill Case 294|104]]
*[[McGill Case 295|105]]
*[[McGill Case 296|106]]
*[[McGill Case 297|107]]
*[[McGill Case 298|108]]
*[[McGill Case 299|109]]
*[[McGill Case 300|110]]
*[[McGill Case 301|111]]
*[[McGill Case 302|112]]
*[[McGill Case 303|113]]
*[[McGill Case 304|114]]
*[[McGill Case 305|115]]
*[[McGill Case 306|116]]
*[[McGill Case 307|117]]
*[[McGill Case 308|118]]
*[[McGill Case 309|119]]
*[[McGill Case 310|120]]
*[[McGill Case 311|121]]
*[[McGill Case 312|122]]
*[[McGill Case 313|123]]
*[[McGill Case 314|124]]
*[[McGill Case 315|125]]
*[[McGill Case 316|126]]
*[[McGill Case 317|127]]
*[[McGill Case 318|128]]
*[[McGill Case 319|129]]
*[[McGill Case 320|130]]
*[[McGill Case 321|131]]
*[[McGill Case 322|132]]
*[[McGill Case 323|133]]
*[[McGill Case 324|134]]
*[[McGill Case 325|135]]
*[[McGill Case 326|136]]
*[[McGill Case 327|137]]
*[[McGill Case 328|138]]
*[[McGill Case 329|139]]
*[[McGill Case 330|140]]
*[[McGill Case 331|141]]
*[[McGill Case 332|142]]
*[[McGill Case 333|143]]
*[[McGill Case 334|144]]
*[[McGill Case 335|145]]
*[[McGill Case 336|146]]
*[[McGill Case 337|147]]
*[[McGill Case 338|148]]
*[[McGill Case 339|149]]
*[[McGill Case 340|150]]
*[[McGill Case 341|151]]
*[[McGill Case 342|152]]
*[[McGill Case 343|153]]
*[[McGill Case 344|154]]
*[[McGill Case 345|155]]
*[[McGill Case 346|156]]
*[[McGill Case 347|157]]
*[[McGill Case 348|158]]
*[[McGill Case 349|159]]
*[[McGill Case 350|160]]
*[[McGill Case 351|161]]
*[[McGill Case 352|162]]
*[[McGill Case 353|163]]
*[[McGill Case 354|164]]
*[[McGill Case 355|165]]
*[[McGill Case 356|166]]
*[[McGill Case 357|167]]
*[[McGill Case 358|168]]
*[[McGill Case 359|169]]
*[[McGill Case 360|170]]
*[[McGill Case 361|171]]
*[[McGill Case 362|172]]
*[[McGill Case 363|173]]
*[[McGill Case 364|174]]
*[[McGill Case 365|175]]
*[[McGill Case 366|176]]
*[[McGill Case 367|177]]
*[[McGill Case 368|178]]
*[[McGill Case 369|179]]
*[[McGill Case 370|180]]
*[[McGill Case 371|181]]
*[[McGill Case 372|182]]
*[[McGill Case 373|183]]
*[[McGill Case 374|184]]
*[[McGill Case 375|185]]
*[[McGill Case 376|186]]
*[[McGill Case 377|187]]
*[[McGill Case 378|188]]
*[[McGill Case 379|189]]
*[[McGill Case 380|190]]
*[[McGill Case 381|191]]
*[[McGill Case 382|192]]
*[[McGill Case 383|193]]
*[[McGill Case 384|194]]
*[[McGill Case 385|195]]
*[[McGill Case 386|196]]
*[[McGill Case 387|197]]
*[[McGill Case 388|198]]
*[[McGill Case 389|199]]
*[[McGill Case 390|200]]
*[[McGill Case 391|201]]
*[[McGill Case 392|202]]
*[[McGill Case 393|203]]
*[[McGill Case 394|204]]
*[[McGill Case 395|205]]
*[[McGill Case 396|206]]
*[[McGill Case 397|207]]
*[[McGill Case 398|208]]
*[[McGill Case 399|209]]
*[[McGill Case 400|210]]
*[[McGill Case 401|211]]
*[[McGill Case 402|212]]
*[[McGill Case 403|213]]
*[[McGill Case 404|214]]
*[[McGill Case 405|215]]

Latest revision as of 23:30, 19 February 2012

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This case report is kindly provided by Michael Rosengarten from McGill and is part of the McGill Cases. These cases come from the McGill EKG World Encyclopedia.


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Conduction Abnormalities

Intraventricular conduction defect

Right Bundle Branch Block

Left Bundle Branch Block

Left Anterior Fasicular Block

Left Posterior Fasicular Block

Bifasicular block

Right bundle branch block with left anterior hemi-block

Right bundle branch block with left posterior hemi-block

Alternating Bundle Branch Block

Trifasicular block

A/V Blocks

First degree block:

Second degree block

Mobitz I

Mobitz II

Complete heart block

Sinus Node Block:

Arrhythmias

Supraventricular Arrhythmias

Sinus pauses

Premature atrial complexes

Atrial fibrillation

Supraventricular Tachycardia

Without block
With block

Atrial Flutter

Nodal Rhythm:

Accelerated nodal rhythm

Wolf Parkinson White

Other atrial rhythms

Ventricular Arrhythmias

Premature Complexes

Bigemini

Ventricular Tachycardia

Ventricular Fibrillation

Implanted Devices

Cardiac Pacemakers

Examples of different pacing modes

DDD pacemakers
Atrial pacing
Ventricular Pacing

Pacing conduction patterns

Pacemaker interactions

Pacemaker Pacing Artifacts

Pacemaker Follow-up

Unusual rhythms
Threshold Testing
Atrial threshold testing
Strength duration curves
Time dependent capture
Pacemaker system failure
Trans-telephonic EKG recordings
Trans-telephonic Audio recordings

Defibrillation and Cardioversion

External Cardioversion/defibrillation
Implantable Defibrillators
Threshold Testing

ECG Recordings

The Normal ECG

Super Puzzler