Tag Raúl J. Gazmuri

Transvenous and transcutaneous cardiac pacing

Before the procedure Indications Treatment of symptomatic bradycardia Sinus bradycardia Second-degree or third-degree atrioventricular block Prophylaxis Bradycardia-induced ventricular tachyarrhythmias (e.g., torsades de pointes) Increased risk of advanced atrioventricular block (e.g., acute myocardial infarction, infective endocarditis, surgery in patients with underlying…

Cardioversion and defibrillation

Before the procedure Indications Emergency re-establishment of an organized electrical rhythm Hemodynamically unstable polymorphic ventricular tachycardia Ventricular fibrillation Pulseless ventricular tachycardia Narrow or wide QRS complex tachycardia (ventricular rate >150) associated with hemodynamic instability, chest pain, or pulmonary edema Elective…

Ventricular arrhythmias

Cardiac arrhythmias are common in critically ill patients and a frequent reason for hospital admission to areas with capability for continuous electrocardiographic monitoring and personnel trained in their recognition and management (e.g., intensive care units [ICUs] and telemetry units). Arrhythmias…