"Rapid pacing" during a TAVI with a permanent cardiac pacemaker - First check that the settings are normal. This includes the battery life, impedances, and threshold. - In Threshold Test mode, program in VVI/VOO mode set for 175bpm. - Program it so that the threshold test is set to 15 pulses (Medtronic) with a high threshold (5.0 mV) and will gradually reduce the stimuli with the desired heart rate (175 bpm). - Programmers have no delay in this function (Medtronic) and end instantly | Cardiophil
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This is an atrial paced rhythm 👀 Here’s how to recognize it FAST ⏱️ 🔹 Pacemaker spike before the P wave 🔹 Consistent P waves 🔹 QRS usually narrow If you can spot this in under 10 seconds, you’ll feel way more confident on shift. 👉 Save this for later 🧠💡 Atrial paced rhythm doesn’t automatically mean intervention. Always ask: ✔️ Is the patient stable? ✔️ Is there capture? ✔️ Are vitals appropriate? 👉 Treat the patient, not the monitor. 🚨 If symptomatic: ➡️ Follow the ACLS Bradycardia Alg
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