- Joined
- Aug 17, 2012
- Messages
- 1,906
- Reaction score
- 2,211
also posted this on our forum:
80 yo for urgent ex lap. CHF, EF 20%. Has ICD. EKG shows atrial paced rhythm at 60. Surgery will involve a lot of bovie/electrocartery.
Interrogation of ICD done by remote interrogation device in pre-op. Rep (well known, smart and very reliable) reviews from home, says patient is “only paced about 60% of time,” all atrial signals are carrying through to ventricle, almost never paces the ventricle. Says the patient is therefore NOT pacer dependent, no reprogramming needed. Says magnet will prevent shocks but will have NO effect on pacing function, which I knew.
Reasonable conclusion that patient is NOT pacer dependent? (My specific concern is that bovie will inhibit pacing function intra-op).
80 yo for urgent ex lap. CHF, EF 20%. Has ICD. EKG shows atrial paced rhythm at 60. Surgery will involve a lot of bovie/electrocartery.
Interrogation of ICD done by remote interrogation device in pre-op. Rep (well known, smart and very reliable) reviews from home, says patient is “only paced about 60% of time,” all atrial signals are carrying through to ventricle, almost never paces the ventricle. Says the patient is therefore NOT pacer dependent, no reprogramming needed. Says magnet will prevent shocks but will have NO effect on pacing function, which I knew.
Reasonable conclusion that patient is NOT pacer dependent? (My specific concern is that bovie will inhibit pacing function intra-op).