Pacemaker Malfunction: Myth or Reality?

Pacemaker (PM) and implantable cardiac defibrillator (ICD) malfunction is a serious and frequent finding in clinical setting. Depending on baseline rhythm and the type of malfunction, symptoms with different severity can occur, from no symptoms to syncope and sudden death due to asystole or ventricu...

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Bibliographic Details
Published inThe Arrhythmic Patient in the Emergency Department pp. 163 - 175
Main Authors Verlato, Roberto, Baccillieri, Maria Stella, Turrini, Pietro
Format Book Chapter
LanguageEnglish
Published Switzerland Springer International Publishing AG 2016
Springer
Springer International Publishing
Subjects
Accident & emergency medicine
Cardiothoracic surgery
Cardiovascular medicine
Implantable Cardiac Defibrillator
Inappropriate Shock
Lead Failure
Pace Threshold
Ventricular Pace
Online AccessGet full text
ISBN3319243268
9783319243269
DOI10.1007/978-3-319-24328-3_11

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Summary:Pacemaker (PM) and implantable cardiac defibrillator (ICD) malfunction is a serious and frequent finding in clinical setting. Depending on baseline rhythm and the type of malfunction, symptoms with different severity can occur, from no symptoms to syncope and sudden death due to asystole or ventricular fibrillation. Unfortunately, symptoms, such as asthenia, dizziness, dyspnea, and palpitations, are often vague, and this can lead to a dangerous delay in cardiac implantable electronic device (CIED) malfunction detection. An ECG recording and careful device and lead evaluation by means of telemetry are necessary for the diagnosis. A great help to early detection of CIED malfunctions is coming from remote control, allowing therapeutic interventions within 24 h since the malfunction occurs in most cases.
ISBN:3319243268
9783319243269
DOI:10.1007/978-3-319-24328-3_11