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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES & RELATED

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martes, 7 de enero de 2020

Pacemaker complications

CanadiEM
CanadiEM - January 07, 2020 - By Costello L
"Key take away points: 
  1. Never attempt to drain a pocket hematoma in the ED!
  2. Most pocket and systemic infections require intravenous antibiotics and removal of the pacemaker.
  3. Phlebitis and thrombophlebitis are common but usually do not pose a problem due to collateralisation of veins. However, consider DVT in your differential for arm swelling or pain.
  4. Think of pacemaker syndrome whenever someone comes in with vague symptoms or CHF –especially if the pacemaker is new or has been recently adjusted.
  5. An ECG and CXR are always good starting investigations for pacemaker malfunction but findings may be subtle. If you suspect a malfunction, then patients should ultimately undergo a pacemaker interrogation."