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Core IM | Internal Medicine Podcast

#123 Pacemakers & ICDs: 5 Pearls Segment

48 min • 12 april 2023

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?


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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