thank you..highly needed when cardiologist always defers your questions to his medical assistant or nurse both who weren't even at location of implantation surgery
Thank you so much for a video that was clear and concise. You explained the modes and gave examples of each which was so helpful. I look forward to watching future videos. Well done.
Awesome video! I'm a cardiology NP, new to pacers and I'm having a hard time learning from the books I have. Many thanks for this video! I will be checking out your other videos as well. Your "about" section is blank. Who am I learning from? Are you on Twitter?
Marian: Thank you for the compliment. Glad you found the video helpful. My name is Tyler Rust and I have been working in the pacing industry for a little over 9 years now. The UA-cam videos are a little side project that I have been working on in my spare time. I'm hoping to keep developing the channel and add more content, eventually I will get the "about" information filled out. I'm currently not on Twitter. Best of luck with the pacemaker learning process!
Thank you for this very informative,easy to understand PPM modes video. But in P Wave tracking mode, Heart rate will NOT go above upper rate limit, usually 120 BPM, even if the patient goes in afib/flutter. with atrial rate of 200-300 bpm because Vetricular pacing upper rate is 120 bpm. Correct me if I am wrong.
You are correct. The upper rate limit or max tracking rate (depending on which company you are working with) is a safety feature that will prevent the pacemaker from tracking something like an atrial tachycardia and then pacing the ventricles too fast. I go into more detail on this in my next video on Timing Cycles. here is the link for that if you want it. ua-cam.com/video/MGs9Db3wFKg/v-deo.html 😃
If it is chronic Afib you are most likely better off with programming VVI. But, if they have proximal Afib and are not mode switching well due to small p-waves, sometimes DDI is the preferred mode over DDD. This way they will still get some atrial pacing support when needed in a sinus Bradycardia situation but won't track the atrium and pace the ventricle in the presence of Afib.
sifar1111 - When paroxismal AF/AFL is present, the preferred mode is DDD as long as the pacemaker is able to sense the AF/AFL. All pacemakers have an algorithm called Automatic Mode Switch. This Mode Switch algorithm detects when the patient goes into A-Fib/Flutter and will automatically change the mode from a tracking mode to a non tracking mode such as DDI or VVI. After the patient converts back into a sinus rhythm the pacemaker will detect that and then switch back to DDD mode.
I have a question could a person with a DDD have 100 own rhythm... meaning could be that the pace wasn't needed at all? this person has Normal Sinus, 1° AV Block, NYHA Class II... the report doesnt have any events... what would you do? would you keep the pacemaker or not ?
Hi there, the answer to your questions really depends on several variables. 1st, yes you can have a person with a DDD pacemaker have a heart rate of 100 bpm and rarely use the pacemaker. It may seem like they don't need the pacemaker at all. The important thing to look at is, what are the pacing percentages in the Atrium and Ventricles? This will give you a better idea as to how much they are actually using the pacemaker. The lower the percentage the less they are using the pacemaker. Please note that some people are programmed in a way to rarely use their pacemaker, so a low pacing percentage does not mean that the patient doesn't need the pacemaker. Some patients might rarely use their pacemakers but when they do it is vital and potentially lifesaving. Pacemakers are not usually implanted for first degree block unless they are symptomatic due to the long AV block. You would really want to find out the original indication for the pacemaker. Typically this is Sick Sinus Syndrome, Bradycardia, Syncope or 2nd and 3rd degree heart blocks. Would I keep the pacemaker? I am not the patients physician and therefore can not answer that question. Sorry I can't help with that one.
Glad it was helpful. Is there something specific about programming that you had a question about? It would be a little tough to make a video on programming since there are multiple companies and everyone's programmer is different.
I do have a couple of other videos on my UA-cam channel that you can check out. One on Pacemaker timing cycles that addresses some topics such as Upper Rate Behavior and Pacemaker Mediated Tachycardia, and also another video on Pacemaker Concepts explaining sensing, impedances and thresholds. I hope to make some more videos when I have time. I will leave a link to my UA-cam Channel below. There is a playlist for Pacemakers which has my three videos and then there are also 4 videos from Medmastery on the topic of pacemakers that are a good watch as well. Have a good day! ua-cam.com/channels/QhX1AAZoAOWtAeANMIFwHQ.html
Hands down best pacer educational video on UA-cam. Thank you !
@@robertourquiza7261 Thanks for the compliment!
AT LAST! A presentation that is easy to follow yet covers everything. Thank you SO much!
@@yvette7272 thanks for the Compliment!
This is ridiculously easy to understand and that’s thanks to your excellent explanation. Many thanks
Thank you for the compliment!
Thanks
Thanks
Amazing explanation concise and comprehensive.
Glad it was helpful!
Congratulations. 2024 and still the best channel on youtube covering the topic
@@brunocardoso6435 Thanks Bruno!
Awesome ..best lecture ever..topic is not even available on net despite my extensive search...
Thanks for the compliment!!
Probably the best lecture on pacemaker I have ever seen. Its very easy to remember. Thanks for the video.
Best explanation of Pacing Rhythm Modes 100% So awesome!
Thanks!
it is the best lecture i ever heard about pacemaker-keep it up-good job. ....
Best lecture ever
Thanks for the compliment!
thank you..highly needed when cardiologist always defers your questions to his medical assistant or nurse both who weren't even at location of implantation surgery
Glad it was helpful!
Best lecture.. After so many search.. I found the best one
Thanks for the compliment!!
I m so thankful that u exist to mje our lives easier...so simple..love it
GOD bless
What an amazing summary! Everything was very clearly and concisely explained. Thank you.
Absolutely fantastic video! Your efforts to educate are effective and much appreciated!
Tyler Rust you are a brilliant man.
Thank you so much for a video that was clear and concise. You explained the modes and gave examples of each which was so helpful. I look forward to watching future videos. Well done.
Very well explained! Thank you so much!!
Thanks for the compliment! You're welcome.
Probebly the best Lecture to explain Pacemacker, I recommend it. Thank you.
What about ICD lecture ?
Excellent 👍
Thank you!!
Great lecture..Long ive doctor...
Fascinating and very informative!
@@johnhagen31 Thanks!
Great explanation !
Thank you :D
You're welcome!
This is really good, thank you
Thanks for the compliment and you're welcome.
OUTSTANDING..Please keep them coming!
simply explained..post more video related to pacemaker complications
Great video...
Thanks!
amazing! making complex topic easy to understand!
Thanks for the compliment Mary!
One of the best lectures
excellent work.
Great lecture. Thank you very much
👍. Simply superb
Thank you so much. That was so helpful !😊
Thank you so much for your excellent presentation
You are very welcome!
Awesome great......now I got proper idea.thanks
Please upload more videos like this!!!!!!!!!!!!!! Thanks :)
Awesome video! I'm a cardiology NP, new to pacers and I'm having a hard time learning from the books I have. Many thanks for this video! I will be checking out your other videos as well. Your "about" section is blank. Who am I learning from? Are you on Twitter?
Marian: Thank you for the compliment. Glad you found the video helpful. My name is Tyler Rust and I have been working in the pacing industry for a little over 9 years now. The UA-cam videos are a little side project that I have been working on in my spare time. I'm hoping to keep developing the channel and add more content, eventually I will get the "about" information filled out. I'm currently not on Twitter. Best of luck with the pacemaker learning process!
Excellent interpretation, thanks
@@kamalparvej1949 Thanks for the compliment!
Brilliant
Very nice work, thank you a lot ...
Thx a lot for wonderful presentation.
It's very helpful information.
:)
Koste Kostojcinoski Thank you for sharing this informative guidelines. Very informative.
Thank u so much. your lecture if very comprehensive and understandable
Thank you so much! It is very necessary.
this is one of best... awesome
Very useful, many thx
Amazing! Thank you very much!
great video!
Nice video..
How will be the career of pacemaker technician
5:59 Perfection 🫡
Thanks!
explained very effectively
Thanks Anand M!!
thank you so much
really very helpful video indeed
thank u, for this perfect explanation
@@lidianealves6355 glad you liked it!
Marvellous
thank you! amazing explanation!!
You're Beautiful,just had to say
Wonderful video. Thank you very much !
many many thanks for your efforts. This video was so helpful....waiting for more videos
great video
Wonderful.
Thankyou.
@@NehaKadian-zo6xk Thanks for the compliment!
Awesome .i got it all in one place .thx
Thank you for this very informative,easy to understand PPM modes video. But in P Wave tracking mode, Heart rate will NOT go above upper rate limit, usually 120 BPM,
even if the patient goes in afib/flutter. with atrial rate of 200-300 bpm because Vetricular pacing upper rate is 120 bpm. Correct me if I am wrong.
You are correct. The upper rate limit or max tracking rate (depending on which company you are working with) is a safety feature that will prevent the pacemaker from tracking something like an atrial tachycardia and then pacing the ventricles too fast. I go into more detail on this in my next video on Timing Cycles. here is the link for that if you want it. ua-cam.com/video/MGs9Db3wFKg/v-deo.html 😃
well done!!!
Awesome!
Wow thank you so much!!
Glad you liked it!
Thanks for the video
What are the indications for a DDI when you can use VVI then in case of Afib?
If it is chronic Afib you are most likely better off with programming VVI. But, if they have proximal Afib and are not mode switching well due to small p-waves, sometimes DDI is the preferred mode over DDD. This way they will still get some atrial pacing support when needed in a sinus Bradycardia situation but won't track the atrium and pace the ventricle in the presence of Afib.
In the last section of choice of mode, is it DDI rather than DDD in patients with Paroxymal AF/AFL?
sifar1111 - When paroxismal AF/AFL is present, the preferred mode is DDD as long as the pacemaker is able to sense the AF/AFL. All pacemakers have an algorithm called Automatic Mode Switch. This Mode Switch algorithm detects when the patient goes into A-Fib/Flutter and will automatically change the mode from a tracking mode to a non tracking mode such as DDI or VVI. After the patient converts back into a sinus rhythm the pacemaker will detect that and then switch back to DDD mode.
This is so 👍🏻😊
Thanks!
I have a question could a person with a DDD have 100 own rhythm... meaning could be that the pace wasn't needed at all? this person has Normal Sinus, 1° AV Block, NYHA Class II... the report doesnt have any events... what would you do? would you keep the pacemaker or not ?
Hi there, the answer to your questions really depends on several variables. 1st, yes you can have a person with a DDD pacemaker have a heart rate of 100 bpm and rarely use the pacemaker. It may seem like they don't need the pacemaker at all. The important thing to look at is, what are the pacing percentages in the Atrium and Ventricles? This will give you a better idea as to how much they are actually using the pacemaker. The lower the percentage the less they are using the pacemaker. Please note that some people are programmed in a way to rarely use their pacemaker, so a low pacing percentage does not mean that the patient doesn't need the pacemaker. Some patients might rarely use their pacemakers but when they do it is vital and potentially lifesaving.
Pacemakers are not usually implanted for first degree block unless they are symptomatic due to the long AV block. You would really want to find out the original indication for the pacemaker. Typically this is Sick Sinus Syndrome, Bradycardia, Syncope or 2nd and 3rd degree heart blocks. Would I keep the pacemaker? I am not the patients physician and therefore can not answer that question. Sorry I can't help with that one.
❤🙏🏻
DDDI never been clear before seeing this video
I was trying to find out what to do with a aortic aneurysm and a ar to aortic arch blockage with a up pacemaker
W.r.
thanks alot. please can you make video about programming ?
Glad it was helpful. Is there something specific about programming that you had a question about? It would be a little tough to make a video on programming since there are multiple companies and everyone's programmer is different.
thank for your reply, what an honor. Actually a video about programming/telemetry "general concepts"
I do have a couple of other videos on my UA-cam channel that you can check out. One on Pacemaker timing cycles that addresses some topics such as Upper Rate Behavior and Pacemaker Mediated Tachycardia, and also another video on Pacemaker Concepts explaining sensing, impedances and thresholds. I hope to make some more videos when I have time. I will leave a link to my UA-cam Channel below. There is a playlist for Pacemakers which has my three videos and then there are also 4 videos from Medmastery on the topic of pacemakers that are a good watch as well. Have a good day!
ua-cam.com/channels/QhX1AAZoAOWtAeANMIFwHQ.html
Understanding Pacemakers x
Again plz where can I find it about the programming
SUCCINCT AND POWERFUL DELIVERY
Gr888888
Glad you liked it !!
people should recieve poly antigens
Plzzzz हिंद में
I can't understand anything.