MYTH AND FACTS ABOUT CARDIAC PACING.pptx

Common queries asked by patients regarding cardiac pacing.this is full regarding myths and facts after cardiac pacing

1. MYTHS and facts OF Cardiac PacING  

2. First degree av block needs ppi ? NO Asymptomatic sinus bradycardia ,first degree AV block , Symptomatic second degree with wenkeback

3. Indications for Permanent Pacemaker Class I 3° or 2° AV block with associated symptomatic bradycardia. 3° and advanced 2° AV block associated with any of the following: Arrhythmias that require drugs resulting in symptomatic bradycardia Sinus pauses > 3 seconds Asymptomatic escape rate < 40bpm while awake Type II 2° AV block with wide QRS, regardless of symptoms Sinus node dysfunction with documented symptomatic bradycardia Symptomatic chronotropic incompetence (failure to increase HR with exercise or increased metabolic demand)

4. Indications for Pacemaker Class IIa Syncope of unexplained origin when major abnormalities of sinus node function are discovered or provoked during EP studies. Asymptomatic 3° AV block with an awake ventricular rate > 40 bpm. Asymptomatic type II 2° AV block. Class Ia -CRT for pts with NYHA Class III or IV heart failure, Ejection Fraction of < 35%,On optimal medical therapy, QRS > 120 ms wide ± Echo evidence of ventricular dyssynchrony . Class IIb Hypertrophic obstructive cardiomyopathy without symptomatic bradycardia.

5. Non indications for PPM These conditions include, among others, syncope of undetermined etiology, asymptomatic sinus bradycardia, asymptomatic first-degree and second-degree Mobitz I (Wenckebach) AV block, reversible AV block, and long QT syndrome or torsades de pointes due to a reversible cause. 

6. Ppi leads to ventricular dysfunction ? Yes Chronic pacing leads pacemaker induced cardiomyopathy Physiological pacing HIS bundle pacing or LBBP pacing

7. Ppi patients shoud not undergo mri Nowadays most of the pacemaker are MRI compatible Undergo MRI(Latest generation PPI) Implantation with previous generation PPI need caution

8. Can I use a mobile phone? Yes. When talking on a mobile phone keep the phone’s antenna 16 cm away from your pacemaker, and Use the phone on the ear opposite your pacemaker. We also recommend you avoid placing the mobile phone in pocket near your pacemaker.

9. Are household appliances safe to use? Yes. Most household appliances are safe to use as long as they are properly maintained and in good working order. This includes microwave ovens, major appliances, electric blankets, and heating pads.

10. Will magnets affect ppi device? Items that contain magnets, such as magnetic therapy products, stereospeakers , and hand-held massagers can temporarily affect the operation of your pacemaker. Therefore, it is recommended you keep items containing magnets at least 16 cm away from your implanted pacemaker. We do not recommend the use of magnetic mattress pads and pillows because it is difficult to maintain a 16 cm distance when using these items.

11. Will I be able to travel? Given the short duration of security screening, it is unlikely that your Pacemaker will be affected by metal detectors (walk-through archways and hand-held wands) and full body imaging scanners (also called millimeter wave scanners and 3Dimaging scanners) such as those found in airports, courthouses, and jails. The metal case of your Pacemaker could set off a metal detector.

12. Do’s and dont‘s in security checking To minimize the risk of temporary interference with your Pacemaker while going through the security screening process, avoid touching metal surfaces around any screening equipment. Donot stop or linger in a walk-through archway; simply walk through the archway at a normal pace. If a handheld wand is used, ask the security operator not to hold it over your Pacemaker and not to wave it back and forth over your Pacemaker. You may also request a hand search as an alternative. If you have concerns about the security screening methods, show your pacemaker ID card, request alternative screening, and then follow the instructions of the security personnel.

13. After ppi they will leave big ugly lump on skin This may have been a concern in the past but not anymore. Today’s devices are smaller than ever and can often be implanted through very small incisions that leave much less scarring. We can also achieve good cosmetic results by ‘hiding’ these devices in certain places, such as behind a muscle. Leadless pacemakers

14. WILL I BE ABLE TO DRIVE ? This is a very common concern, but most people can still drive with a pacemaker or defibrillator as long as they haven’t been having fainting spells. And it’s true that people with implanted defibrillators cannot hold a commercial driver’s license.

15. Thank you