Core IM | Internal Medicine Podcast #140 Bonus Pacemaker & ICDs: 5 Pearls Segment
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Nov 29, 2023 This podcast discusses topics such as approaching syncope history in patients with implantable devices, distinguishing between benign vagal episodes and life-threatening arrhythmias, avoiding heparin products for patients with pacemakers or ICDs, new technologies and devices for contractility and heart failure, and anticoagulation and technology update.
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Syncope Evaluation Framework
- Consider syncope in three categories: reflex, orthostatic, and cardiogenic.
- Rule out mimics like hypoglycemia and seizures.
Post-Syncope Symptoms are Key
- Prodromal symptoms can occur in both vasovagal and cardiac syncope.
- Focus on post-syncope symptoms: exhaustion suggests vasovagal, feeling normal suggests cardiac.
Surgery and Implantable Devices
- Involve cardiology for surgeries above the iliac crest in patients with implantable devices.
- Place a magnet on pacemakers to switch them to asynchronous pacing, preventing interference.