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Pacemaker Follow Up by Mind Map: Pacemaker Follow Up
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Pacemaker Follow Up

1. Does it Pace?


2. Does it sense?

Measured in mV.

Adjusting sensitivity is non-intuitive. Raise sensitivity by lowering the number and vice versa (think of paradigm of raising or lowering the fence - pacemaker sees all activity that is over the fence)

Oversensing can result in non-pacing (really a bad idea in dependant patients). Undersensing results in inappropriate pacing and potentially R on T (a bad thing particularly if there is underlying cardiomyopathy, but probably better than Oversensing in most situations.

3. Are the leads OK?

Polarity optimized



4. Is the battery OK?

5. Is programming optimized

Battery Function (short term / long term) Arrhthmia detection  

Strategies to maximize clinical function

Strategies to reduce pacing

Other strategies to prolong battery life


6. Are there arrhythmias?



Sudden relative Brady

8. Weird and Wonderful

Unusual problems

What you can learn about the physiology of your patient "You can see a lot just by looking" - Y Berra

7. Pacemaker induced complications

Infection at site of pacemaker. Routine follow up should always include a look at the pace site (which can break down years after implant). Patients should be taught to call if site becomes red.

Pacemaker syndrome

Pacemaker mediated tachycardia

5 conditions in which PMT can occur