Problems with preexisting permanent systems

Medical notes, a patient record card, or contact with the appropriate pacing clinic will usually determine the variety and programming of a permanent pacemaker. Plain chest radiography shows which chambers have leads inserted, while an ECG taken during pacing activity will confirm which chambers are being paced. The pacing service can use transcutaneous devices to interrogate and reprogram the pacemaker. This may give information about how the pacemaker is programmed, how often it has been used, and even what sort of dysrhythmias have recently occurred. Automatic implantable cardiac defibrillator boxes with pacing potential are becoming more common.

Table..? lists points of caution regarding temporary pacemakers, while Table s shows pacemaker-related problems encountered in the ICU.

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Table 2 Points of caution regarding temporary pacemakers

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