Hayes David L., Ryan James D., Mulpuru Siva K. et al. Workbook of Diagnostics for Cardiac Implantable Devices

Cardiotext Publishing, 2020. — 218 p. — ISBN 978-1-942909-45-3.In addition, one must be able to correlate and interpret the accompanying electrocardiographic tracing with the patient s clinical presentation. For students of CIED management, be they beginners in the field or more advanced, there is always an appreciation for case studies, i.e., real-world examples of managing a specific device-related issue. To this end, this workbook of 61 device management case studies has been prepared by six talented RN Device Specialists and three physicians involved in the Heart Rhythm Service practice at the Mayo Clinic in Rochester, Minnesota. Included in the case studies are examples from pacemakers, ICDs and CRT devices, illustrating interpretation and management of a variety of device behaviors, some with abnormal function that requires diagnosis and management approach, and others that display appropriate behavior of a specific device algorithm that may be confusing for the CIED student. ~David L. Hayes, MD, and the contributors - adapted from the Preface.Case Studies
Variation in Paced QRS Morphology
Ventricular Undersensing in a Dual-Chamber Pacemaker
Atrial Pacing with a Competing Junctional Rhythm
Loss of AV Synchrony
Postventricular Atrial Refractory Period (PVARP) Function
Atrial Loss of Capture
Loss of Capture and Pseudofusion
Loss of RV and LV Capture
Atrial Undersensing
Functional Atrial Undersensing
Undersensing of Atrial Arrhythmia
Ventricular Safety Pacing
DDI Pacing Mode
Functional Ventricular Undersensing
Atrial Sensed Events in Refractory Period
Pseudo-Wenckebach Upper Rate Behavior (Medtronic)
Pseudo-Wenckebach Upper Rate Behavior (Boston Scientific)
Pseudo-Wenckebach Upper Rate Behavior (St. Jude Medical*)
His Pacing Threshold at Implant
Crosstalk Oversensing on Ventricular Channel with His Pace/Sense Lead in RV Port
Pseudo Undersensing in Leadless Pacemaker
Remote Alert Follow-Up
Promoting Intrinsic Ventricular Conduction
Atrial Preference Pacing
Rate Drop Response
Rate Smoothing
Atrial Flutter Response
Atrial Tachyarrhythmia with Atrial Intervention Pacing
Mode Switch Termination with Failure to Establish AV Synchrony
Inappropriate Mode Switch
Loss of AV Synchrony Due to Inappropriate Mode Switch
Auto-PVARP and Inappropriate Mode Switch