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Related Concept Videos

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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Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
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Cardiovascular System Abnormal Findings I: Inspection and Palpation01:29

Cardiovascular System Abnormal Findings I: Inspection and Palpation

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In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
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Assessment of apical pulse01:17

Assessment of apical pulse

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Assessing the Apical Pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
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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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Disturbances in Heart Rhythm01:28

Disturbances in Heart Rhythm

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Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
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Related Experiment Video

Updated: Jun 2, 2025

Translational Rabbit Model of Chronic Cardiac Pacing
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Pacemaker Pocket Erosion: A Critical Issue Requiring Immediate Attention.

Colin McGuire1, Jeniffer Naitore2, Vijay Ramu1

  • 1Cardiology, Quillen College of Medicine, East Tennessee State University, Johnson City, USA.

Cureus
|January 13, 2025
PubMed
Summary

Prompt intervention for pacemaker infections is crucial. Early removal of cardiac implantable electronic devices (CIEDs) and leads, especially within one day, improves patient outcomes and prevents recurrent infections.

Keywords:
explanted pacemakerpacemaker complicationpacemaker extractionpacemaker infectionpacemaker pocket infection

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Area of Science:

  • Cardiology
  • Infectious Diseases
  • Medical Device Technology

Background:

  • Cardiac implantable electronic devices (CIEDs) manage heart conditions but are prone to complications like infections, particularly in an aging population.
  • Pacemaker pocket infections are rising, with risk factors including frailty and older age.

Observation:

  • A 77-year-old male with a history of atrial fibrillation and methicillin-susceptible Staphylococcus aureus (MSSA) bacteremia presented with pacemaker erosion and infection.
  • Blood and wound cultures confirmed MSSA; the patient underwent successful lead and device extraction and was treated with daptomycin.

Findings:

  • Timely intervention, including early device and lead removal (within one day), is critical for favorable outcomes in CIED infections.
  • The case suggests that prior MSSA bacteremia could have been prevented by earlier CIED extraction, highlighting the importance of prompt management.

Implications:

  • Vigilant monitoring for CIED infections is essential.
  • Future guidelines may benefit from stratifying CIED lead and device removal strategies based on implantation timing to optimize patient outcomes.