I dread calling cardiology to interrogate a pacemaker when the pt is without their wallet card and has nary a clue as to the device type/manufacturer.
Now there is a solution courtesy of the EM REMS blog:
Christopher Watford adds:
A good follow-on to that article would be Agullera et al’s “Radiography of Cardiac Conduction Devices: A Comprehensive Review” (Chest and Cardiac Imaging, 2011, doi:10.1148/rg.316115529). I believe LITFL’s R&R put me onto it. Covers recognition of basic pacemaker/ICD types on X-Rays, along with lead types, determining if leads are connected/fractured, etc.
Scott Weingart
An ED Intensivist from NY.
Latest posts by Scott Weingart (see all)
- EMCrit Podcast 242 – ED Nephrology with Joel Topf aka KidneyBoy - March 9, 2019
- EMCrit Podcast 241 – Sepsis Update 2019 - February 21, 2019
- EMCrit Podcast 240 – Renal Compartment Syndrome & It's all about the Venous Side and We've Been Fracking it up for Years - February 10, 2019
A good follow-on to that article would be Agullera et al’s “Radiography of Cardiac Conduction Devices: A Comprehensive Review” (Chest and Cardiac Imaging, 2011, doi:10.1148/rg.316115529). I believe LITFL’s R&R put me onto it. Covers recognition of basic pacemaker/ICD types on X-Rays, along with lead types, determining if leads are connected/fractured, etc.
fantastic as always, Christopher! Moved it up to the main post.