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Assessment of Pacemaker Malfunction

…pacemaker detects electrical activity that it incorrectly interprets as atrial (P wave) or ventricular activity (R wave). The signals causing oversensing may not be visible…

Basic cardiac pacing, pacemaker functions and settings

…Stimulation threshold is the minimum amount of energy required to reach threshold and evoke an action potential. The intensity of the electrical stimulus is described…

Components and construction of a pacemaker

…or passive , meaning that the cathode is not inserted into the myocardium but instead the lead is anchored to the myocardium via tines (Figure 1…

Sinus tachycardia & Inappropriate sinus tachycardia

…automaticity) in the sinoatrial node. This simply means that the sinoatrial node discharges electrical impulses at a higher frequency than normal. Similar to sinus rhythm…

Sinus bradycardia: definitions, ECG, causes and management

…maneuvers (Valsalva maneuver, carotid sinus [baroreceptor] stimulation). It is common to discover SB in healthy young individuals who are not well trained. This is also…

Overview of atrioventricular (AV) blocks

…causes, diagnosis & management This article covers the fundamental principles of atrioventricular (AV) blocks, which are classified into three types: first degree, second degree, and third…

Arrhythmogenic Right Ventricular Cardiomyopathy / Dysplasia (ARVC, ARVD)

…or syncope. ARVC can, however, cause ventricular tachycardia, which may degenerate into ventricular fibrillation at any age. Exercise, or any other activity causing adrenergic stimulation…

Cardiac electrophysiology: Action potential, automaticity and vectors

…action potential, automaticity and electrical vectors Video lecture The following video lecture summarises this chapter. The action potential includes a depolarization (activation) followed by a…

Electrical cardioversion

…hyperthyroidism or an untreated underlying cause make recurrence all but certain and argue against elective cardioversion. Anticoagulation before cardioversion After cardioversion the atrium does not…

The electrical axis of the heart (ECG axis)

…of the normal heart axis. Figure 1. The electrical axis of the heart (heart axis). As evident from the figure, the normal heart axis is…

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