Managing LVAD Complications in the Emergency Department

This episode covers chapter 80 of Rosen's Emergency Medicine. All those juicy pearls about those funny little [black] boxes in your patients chest.

Chapter 80 – Implantable Cardiac Devices

1. List 5 Indications for permanent pacing
   1. What are common Pacemaker types?
2. Pacemaker nomenclature - what do the 5 letters mean
3. List the causes of pacemaker malfunction (main categories with 2 examples each)
4. List the complications of a pacemaker insertion
5. What is pacemaker pseudo-malfunction?
6. What is pacemaker syndrome, which type of pacer is most commonly involved, and what is the tx?
7. What does magnet application do to a pacemaker? to an ICD?
8. Indications for ICD
9. Causes of shock delivery in patient with ICD
10. Causes of syncope/presyncope in patient with ICD
11. Fxns of an ICD

Wise Cracks

1. What do you see on ECG when pacer battery dies (2)?
2. What is twiddler’s syndrome?
3. Describe your Approach to LVAD complications
4. Approach to Pacemakers