Pacemaker Rhythms Dr. Michael - Joseph F. Agbayani @HeartRhythmMD
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Pacemaker RhythmsDr. Michael-Joseph F. Agbayani
@HeartRhythmMD
Images used are mine or under a creative commons license or public domain. These slides are licensed under Creative Commons license: Attribution-NonCommercial-ShareAlike 4.0 International License. http://creativecommons.org/licenses/by-nc-sa/4.0/
Images from Steven Fruitsmaak: https://commons.wikimedia.org/wiki/File:St_Jude_Medical_pacemaker_with_ruler.jpg and https://commons.wikimedia.org/wiki/File:St_Jude_Medical_pacemaker_in_hand.jpgImage from Drj of ECGpedia: http://en.ecgpedia.org/wiki/File:Picture_pacemaker.jpg
Pacemaker
Blausen.com staff. "Blausen gallery 2014". Wikiversity Journal of Medicine. DOI:10.15347/wjm/2014.010. ISSN 20018762
Image from AJC ajcann.wordpress.com: https://www.flickr.com/photos/ajc1/8520716268Image from ECGPedia user Drj: http://en.ecgpedia.org/wiki/File:Ventricular_oversensing.svg
I II III IV V
Chamber(s) paced
Chamber(s) sensed
Response to sensing
Rate modulation Multisite pacing
O = None O = None O = None O = None O = None
A = Atrium A = Atrium T = Triggered R = Rate modulation A = Atrium
V = Ventricle V = Ventricle I = Inhibited V = Ventricle
D = Dual (A+V) D = Dual (A+V) D = Dual (T+I) D = Dual (A+V)
acedensedesp
onse
ateultisite
entricle
entricle
nhibit
ate
Image from Lanzman RS, Winter J, Blondin D, Fürst G, Scherer A, Miese FR, Abbara S, Kröpil P - Korean J Radiol (2011). "Where does it lead? Imaging features of cardiovascular implantable electronic devices on chest radiograph and CT."URL: https://openi.nlm.nih.gov/detailedresult.php?img=3168803_kjr-12-611-g003&req=4
Image from Ed Burns: http://lifeinthefastlane.com/ecg-library/pacemaker/
Image from Ed Burns: http://lifeinthefastlane.com/ecg-library/pacemaker/
Image from Ed Burns: http://lifeinthefastlane.com/ecg-library/pacemaker/
Image from Ed Burns: http://lifeinthefastlane.com/ecg-library/pacemaker/
Image from Ed Burns: http://lifeinthefastlane.com/ecg-library/pacemaker/
Image from Ed Burns: http://lifeinthefastlane.com/ecg-library/pacemaker/
triumtriumnhib
itate
Image from Lanzman RS, Winter J, Blondin D, Fürst G, Scherer A, Miese FR, Abbara S, Kröpil P - Korean J Radiol (2011). "Where does it lead? Imaging features of cardiovascular implantable electronic devices on chest radiograph and CT."URL: https://openi.nlm.nih.gov/detailedresult.php?img=3168803_kjr-12-611-g003&req=4
ECG from James Heilman MD: https://commons.wikimedia.org/wiki/File:AtrialPacemakerECG.JPG
ECG from W.G. de Voogt, MD, PhD, SLAZ, The Netherlands: http://en.ecgpedia.org/wiki/File:DVA0838.jpg
Image from Charles Gomersall: https://www.aic.cuhk.edu.hk/web8/ddd_pacing.htm
Image from Charles Gomersall: https://www.aic.cuhk.edu.hk/web8/ddd_pacing.htm
ual
ual
ual
ate
Image from Lanzman RS, Winter J, Blondin D, Fürst G, Scherer A, Miese FR, Abbara S, Kröpil P - Korean J Radiol (2011). "Where does it lead? Imaging features of cardiovascular implantable electronic devices on chest radiograph and CT."URL: https://openi.nlm.nih.gov/detailedresult.php?img=3168803_kjr-12-611-g003&req=4
Image from Ed Burns: http://lifeinthefastlane.com/ecg-library/pacemaker/
Image from Ed Burns: http://lifeinthefastlane.com/ecg-library/pacemaker/
A
V
Image from Ed Burns: http://lifeinthefastlane.com/ecg-library/pacemaker/
ECG from James Heilman MD: https://commons.wikimedia.org/wiki/File:Duelchamber.JPG
ECG from ECGPedia: http://en.ecgpedia.org/wiki/File:Pacemaker2.jpg
ECG from ECGPedia: http://en.ecgpedia.org/wiki/File:Pacemaker2.jpg
A
V
ECG from James Heilman MD: https://commons.wikimedia.org/wiki/File:AtrialPacemakerECG.JPG
ECG from W.G. de Voogt, MD, PhD, SLAZ, The Netherlands: http://en.ecgpedia.org/wiki/File:DVA0838.jpg
ECG from W.G. de Voogt, MD, PhD, SLAZ, The Netherlands: http://en.ecgpedia.org/wiki/File:DVA0838.jpg
A
V
Image from Charles Gomersall: https://www.aic.cuhk.edu.hk/web8/ddd_pacing.htm
Image from AJC ajcann.wordpress.com: https://www.flickr.com/photos/ajc1/8520716268Image from ECGPedia user Drj: http://en.ecgpedia.org/wiki/File:Ventricular_oversensing.svg
OversensingUndersensing Loss of capture
Image from ECGPedia user Drj: http://en.ecgpedia.org/wiki/File:Ventricular_noncapture.svg
Image from ECGPedia user Drj: http://en.ecgpedia.org/wiki/File:Ventricular_noncapture.svg
Image from Ed Burns: http://lifeinthefastlane.com/ecg-library/pacemaker-malfunction/
Image from ECGPedia user Drj: http://en.ecgpedia.org/wiki/File:Atrial_capture_loss.svg
Image from ECGPedia user Drj: http://en.ecgpedia.org/wiki/File:Atrial_capture_loss.svg
A
V
Image from ECGPedia user Drj: http://en.ecgpedia.org/wiki/File:Ventricular_undersensing.svg
Image from ECGPedia user Drj: http://en.ecgpedia.org/wiki/File:Ventricular_undersensing.svg
Image from ECGPedia user Drj: http://en.ecgpedia.org/wiki/File:Ventricular_oversensing.svg
Image from ECGPedia user Drj: http://en.ecgpedia.org/wiki/File:Ventricular_oversensing.svg
A
V
Image from Charles Gomersall: https://www.aic.cuhk.edu.hk/web8/pacemaker_failure.htm
Image from Charles Gomersall: https://www.aic.cuhk.edu.hk/web8/Pacing%20-%20reversed%20leads.htm
Image from Charles Gomersall: https://www.aic.cuhk.edu.hk/web8/Pacing%20-%20reversed%20leads.htm
Image from Flickr user Alberto G.: https://www.flickr.com/photos/albertogp123/5843577306
Image from WG de Voogt, MD, via ECGPedia: http://en.ecgpedia.org/wiki/File:DVA0968.jpg
Image from WG de Voogt, MD, via ECGPedia: http://en.ecgpedia.org/wiki/File:DVA0856.jpg
Image via ECGPedia, from J.S.S.G. de Jong, MD, and the CCU nurses of AMC , Amsterdam, The Netherlands: http://en.ecgpedia.org/wiki/File:ECG000020.jpg
Image from ECGPedia: http://en.ecgpedia.org/wiki/File:Atrial_malsensing.svg
Image from ECGPedia: http://en.ecgpedia.org/wiki/File:Atrial_malsensing.svg
A
Image from Ed Burns: http://lifeinthefastlane.com/ecg-library/pacemaker/
Image from WG de Voogt, MD via ECGPedia: http://en.ecgpedia.org/wiki/File:DVA0968.jpg
Image from EKG World Encyclopedia http://cme.med.mcgill.ca/php/index.php , courtesy of Michael Rosengarten BEng, MD.McGill via wikimedia: https://commons.wikimedia.org/wiki/File:E00031141_(CardioNetworks_ECGpedia).jpg
Image from W.G. de Voogt, MD, PhD, SLAZ, The Netherlands via wikimedia and ECGpedia: https://commons.wikimedia.org/wiki/File:DVA0923_(CardioNetworks_ECGpedia).jpg
Image from EKG World Encyclopedia http://cme.med.mcgill.ca/php/index.php , courtesy of Michael Rosengarten BEng, MD.McGill via wikimedia: https://commons.wikimedia.org/wiki/File:132_(CardioNetworks_ECGpedia).jpg
Image from wikimedia user Jer5150: https://commons.wikimedia.org/wiki/File:AF_with_RVR-Ashmans_phenomenon-RBBB_aberrancy.png
Image from Dr. Michael-Joseph F. Agbayani
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