Pacemakers and ICDs

Pacemakers and ICDs is a topic covered in the Washington Manual of Medical Therapeutics.

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General Principles

  • The use of electrocautery intraoperatively can have adverse effects on the function of implanted cardiac devices.
  • A variety of errors can occur, from resetting the device to inadvertent discharge of an ICD.
  • Complications are rare but are more likely with abdominal and thoracic surgeries.
  • The type of device (i.e., pacemaker or ICD) and manufacturer should be determined.
  • The initial indication for placement and the patient’s underlying rhythm should be determined. Ideally, this can be determined from the history and an ECG.
  • The device should be interrogated within 3–6 months of a significant surgical procedure.

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General Principles

  • The use of electrocautery intraoperatively can have adverse effects on the function of implanted cardiac devices.
  • A variety of errors can occur, from resetting the device to inadvertent discharge of an ICD.
  • Complications are rare but are more likely with abdominal and thoracic surgeries.
  • The type of device (i.e., pacemaker or ICD) and manufacturer should be determined.
  • The initial indication for placement and the patient’s underlying rhythm should be determined. Ideally, this can be determined from the history and an ECG.
  • The device should be interrogated within 3–6 months of a significant surgical procedure.

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