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Related Concept Videos

Special considerations while measuring pulse01:13

Special considerations while measuring pulse

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Assessing a patient's pulse is a fundamental skill in healthcare, but certain situations require special attention:
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Increased pulse rate01:17

Increased pulse rate

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Tachycardia is a condition marked by an abnormally fast or irregular heart rate, surpassing the typical resting rate. In adults, tachycardia is characterized by a pulse rate ranging from 100 to 180 beats per minute. The increased heart rate can result in inadequate blood flow to various body parts, ultimately diminishing the oxygen supply to organs and tissues.
Many factors can elevate the risk of developing tachycardia. These include advanced age, a family history of arrhythmias, and an...
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Pulse rhythm01:30

Pulse rhythm

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Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
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Decreased pulse rate01:14

Decreased pulse rate

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Bradycardia is a medical condition in which the heart rate is slower than normal. It occurs when the heart's natural pacemaker, the sinus node, generates slower electrical impulses than the standard rhythm. In adults, bradycardia is diagnosed when the pulse rate falls below 60 beats per minute, indicating a deviation from the normal heart rate range.
There are specific risk factors that can elevate the likelihood of developing bradycardia. Advanced age is a significant factor, with...
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Dysrhythmias VI: Management of Dysrhythmias01:25

Dysrhythmias VI: Management of Dysrhythmias

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Dysrhythmia management involves a multifaceted approach, incorporating pharmacological treatments, medical procedures, surgical interventions, lifestyle modifications, and patient education.Pharmacological ManagementAntiarrhythmic Drugs:Class I (Sodium Channel Blockers): This class includes quinidine and procainamide, which reduce the speed of impulse conduction in the heart, stabilize the cardiac membrane, and control arrhythmias. Quinidine and procainamide are Class IA agents that prolong the...
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Guidelines For Measuring Vital Signs01:19

Guidelines For Measuring Vital Signs

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Following these guidelines can help nurses accurately measure vital signs, assess changes in patient conditions, and provide timely treatment when necessary. Adhering closely to the guidelines ensures the accuracy and reliability of the results.
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Complications, Troubleshooting and Follow-up for Left Bundle Branch Area Pacing.

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Related Experiment Video

Updated: Dec 1, 2025

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
12:45

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His bundle pacing: Tips and tricks.

Venkatesh Ravi1, Mohammad El Baba1, Parikshit S Sharma1

  • 1Section of Electrophysiology, Division of Cardiology, Department of Medicine, Rush University Medical center, Chicago, Illinois.

Pacing and Clinical Electrophysiology : PACE
|November 11, 2020
PubMed
Summary
This summary is machine-generated.

His bundle pacing offers physiological pacing with low complication risks. Advances in leads and delivery systems enhance implantation success and long-term outcomes.

Keywords:
His bundle anatomyHis bundle pacingHis delivery sheath modificationchallenging implanttips and tricks

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Area of Science:

  • Cardiology
  • Electrophysiology
  • Medical Devices

Background:

  • His bundle pacing (HBP) is a recognized method for physiological pacing.
  • It offers a reduced risk of long-term lead complications compared to traditional pacing.
  • Recent advancements in lead and delivery systems have improved HBP's feasibility and safety.

Purpose of the Study:

  • To highlight the importance of anatomical knowledge for successful His bundle pacing implantation.
  • To discuss techniques for managing challenging implant cases.
  • To emphasize the necessity of careful lead parameter management for long-term success.

Main Methods:

  • Review of His bundle pacing techniques and anatomical considerations.
  • Discussion of novel delivery systems and implantation strategies.
  • Emphasis on lead parameter optimization and follow-up protocols.

Main Results:

  • Specially designed leads and delivery tools have improved HBP feasibility and safety.
  • Knowledge of His bundle region anatomy is crucial for successful implantation.
  • Challenging cases can be managed with techniques like sheath reshaping or "sheath in sheath" approaches.

Conclusions:

  • Successful His bundle pacing requires understanding regional anatomy and utilizing advanced delivery systems.
  • Meticulous attention to lead parameters during implantation, programming, and follow-up is vital.
  • Wider adoption by electrophysiologists and continued innovation in HBP technology are key to improving its effectiveness.