Popis: |
Pacemaker (PM) and implantable cardiac defibrillator (ICD) malfunction is a serious and frequent finding in clinical setting. Depending on baseline rhythm and the type of malfunction, symptoms with different severity can occur, from no symptoms to syncope and sudden death due to asystole or ventricular fibrillation. Unfortunately, symptoms, such as asthenia, dizziness, dyspnea, and palpitations, are often vague, and this can lead to a dangerous delay in cardiac implantable electronic device (CIED) malfunction detection. An ECG recording and careful device and lead evaluation by means of telemetry are necessary for the diagnosis. A great help to early detection of CIED malfunctions is coming from remote control, allowing therapeutic interventions within 24 h since the malfunction occurs in most cases. |