Transvenous Pacing 101 by Dr. Rawan Amir

Transvenous pacemakers (TVPs) are often placed in patients in the CCU for symptomatic or hemodynamically significant bradyarrhythmias, overdrive pacing in patients with ventricular tachycardia, or simply to pace patients with failed permanent pacemakers. This tweetorial aims to help identify the indications for transvenous pacing, as well as understand the main TVP settings consistent of rate, output and sensitivity. We will also go through some cases together which will allow us to visualize what the rhythm strips/telemetry would look like with common TVP problems, identify potential causes and subsequently discuss how to troubleshoot these devices (which can come in very handy for when you’re oncall in the CCU!).