Tips for Interpreting ICD Tracings

Mayo Clinic electrophysiologists Paul Friedman, M.D. and Siva Mulpuru, M.D., discuss tips for interpreting implantable cardioverter defibrillator (ICD) tracings. For more information on Mayo Clinic Heart Rhythm Services, implantable cardioverter defibrillators, or to request an appointment, visit http://www.mayoclinic.org/departments-centers/cardiovascular-diseases/overview/specialty-groups/heart-rhythm-clinic/overview?mc_id=global&utm_source=youtube&utm_medium=sm&utm_content=dysrhythmiaheart&utm_campaign=mayoclinic&geo=global&placementsite=enterprise&cauid=103944.

When a patient receives a shock from their device, there are many things to consider. It is important to obtain a history, physical and, in some cases, a chest x-ray to determine if the shock was due to an abnormal rhythm or if it could be related to device malfunction. Things such as electromagnetic interference or a break in a cable can lead to device malfunction, so determining the reason for the shock is vital.

Video Content Outline:
• Introduction
• History, physical, and chest x-ray (0:38)
• Twiddler’s Syndrome (2:00)
• Interpreting electrogram (3:48)
• Interpreting an abnormal electrogram (6:00)
• Interpreting impedance and threshold numbers (11:00)
• Emergency care for device patients (13:27)
• Conclusion (16:28)

Видео Tips for Interpreting ICD Tracings канала Mayo Clinic