2015-10-30
AUTHORST. Kleemann, M. Strauß, K. Kouraki
ABSTRACTWith the increase in the age of the total population it is to be expected that the number of acute emergencies involving patients with pacemakers will also increase. Specific pacemaker problems, such as pacemaker tachycardia or pacemaker dysfunction can trigger off emergency situations in pacemaker patients, which can be recognized and acutely resolved by the emergency physician. The placement of a magnet on the pacemaker may be useful in order to terminate pacemaker tachycardia in an emergency or to temporarily bridge the loss of pacemaker stimulation. However, for patients with acute coronary syndrome a pacemaker can complicate the diagnosis of acute myocardial infarction if the electrocardiogram (ECG) is altered by pacemaker stimulation. Thus, basic knowledge about pacemaker ECG and pacemaker therapy is essential for an emergency physician. This article gives a brief summary of the basic principles of pacemaker function and deals with possible emergency situations in patients with pacemakers. More... »
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