Series: Nuts and Bolts Series (Replaced by 5113)

The number of ICD patients is increasing sharply, yet the number of electrophysiologists—physicians who specialise in the electrical system of the heart—is not increasing as dramatically. The result of this influx is that more and more ICD patients are being treated by physicians and staff with little or no ICD training. There are many fine books on device-based therapy for...

Nothing is more perplexing to the clinician new to device therapy than having to deal with cardiac electrocardiograms from a device patient. Pacemakers and other implantable cardiac rhythm management devices leave their “imprint” on ECGs and can significantly change what clinicians see—or expect to see. Evaluating paced ECGs can be challenging, yet nowhere is it taught in any sort of...