#123 Pacemakers & ICDs: 5 Pearls Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 12 April 2023

⏱️ 48 minutes

🔗️ Recording | iTunes | RSS

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Summary

When do you have a device interrogated? Do you know what kind of device your patient has? Do you know how to manage patients with a device who develop bacteremia? How do you discuss end of life care in patients with devices such as a pacemaker or ICD?

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Show notes, Transcript and References

Time stamps

02:51 What are the different types of pacemakers and defibrillators? Who is it indicated for? How can where the leads clue you what the implantable device may do?
21:28 How to determine which type of device your patient has?
25:10 What can a device interrogation tell you and doesn't tell you?
32:13 Do all patients with bacteremia need their implantable cardiac devices taken out?
38:44 End-of-life considerations with pacemakers vs. ICDs

Tags: IM Core, CoreIM, sinus node dysfunction, AV dissociation, palliative care, CRT, biventricular pacing

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Transcript

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0:00.0	Welcome to the Core Am Five Pearls Podcast, bringing you high-yield evidence-based pearls.
0:05.0	I'm Dr. Tray Trevetti and internists at BIDMC.
0:08.0	I'm Dr. Aaron Dunn, a resident at BIDMC.
0:11.0	On today's Five Pearl episode, we're talking about all things pacemakers and ICD.
0:16.0	Let's get started with the purls we'll be covering today.
0:18.0	Test yourself by pausing after each of the five questions.
0:21.0	Remember, the more you test yourself the deeper your learning
0:23.5	gains.
0:26.5	Pearl 1, Pacemaker and ICD function and indication. What are the different types of
0:31.4	implantable pacemakers and defibrillators?
0:34.0	What's their function and who is it indicated for?
0:37.0	Pearl two, recognizing device type.
0:46.7	How do you tell what type of implantable cardiac device
0:49.3	your patient has? Pearl 3. Device interrogation.
1:00.0	What exactly is a device interrogation and when should you console electrophysiology
1:04.2	for a patient who has an implantable device?
1:15.0	Pearl 4, Bacteremia.
1:18.0	How do you approach a patient who has a bloodstream infection, but also has an implantable cardiac device? device. life with a patient who has a pacemaker and how do those conversations
1:33.4	differ.
1:38.4	All right we have a lot of good ground to cover.
1:42.8	So let's first start off with pacemakers
1:44.9	before we get to defibrillators or ICDs.
	...

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