Understanding Pacemakers

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A simple explanation of pacemakers covering the different types of pacemakers, their indications and the ECG changes you would look for to identify what type of pacemaker a patient has.

Zero to Finals Medicine book:

Zero to Finals Paediatrics book:

Zero to Finals Obstetrics and Gynaecology book:

DISCLAIMER: This video is for education and entertainment only, and is not medical advice. This video should NOT be used for medical advice or to guide clinical practice. The Zero to Finals content should not be used in any way to guide medical decision making. Zero to Finals takes no responsibility for any actions taken or not taken based on the information provided. Local and national guidelines and senior clinicians are there to help you make decisions, not YouTube videos. If you need medical advice or information, seek it from an appropriately trained and licenced doctor or healthcare provider that can address your individual needs. Zero to Finals cannot guarantee the accuracy of information in this video. Please highlight any errors you notice in the comments below - thank you.

Zero to Finals Paediatrics book:

Zero to Finals Obstetrics and Gynaecology book:

DISCLAIMER: This video is for education and entertainment only, and is not medical advice. This video should NOT be used for medical advice or to guide clinical practice. The Zero to Finals content should not be used in any way to guide medical decision making. Zero to Finals takes no responsibility for any actions taken or not taken based on the information provided. Local and national guidelines and senior clinicians are there to help you make decisions, not YouTube videos. If you need medical advice or information, seek it from an appropriately trained and licenced doctor or healthcare provider that can address your individual needs. Zero to Finals cannot guarantee the accuracy of information in this video. Please highlight any errors you notice in the comments below - thank you.

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I'm really surprised to see such a serious topic discussed in so calm and composed way even layman can understand it

jally

Had a pacemaker installed 3 years ago for slow heart rate, 2 chamber. The one part of my heart that should be producing 55 to 60% of the work is now only producing 42% . They plan on putting another lead in my left ventricle 3 chamber. They think my biggest problem is the electrical problem more so than heart failure. I had a heart catheter done 4 years ago and my arteries were 25% blocked at the most, so my arteries are pretty much clear. This video made much more since than the way the doctor explained it. Even I could understand it. Great job!

robertwoodworth

I work as a RN on a Medical-Surgical cardiovascular unit. The presenter's explanation was spot on. When I have patients with an implantable cardiac defibrillator (ICD) or a pacemaker, I always review the ECG strip and review the telemetry monitor. You definitely can tell on a pacemaker if it is single or dual by the spikes before the P wave or QRS complex. This video really kept it simple and on point. Thank you.

daviddivineful

My dad who is going to be 76 next month has it done every 7 or 8 years n so far he had 4 surgeries. It’s on his right side n he had double chamber thrice n one time only it was single chamber where I have noticed he doesn’t have good equilibrium n I have been told in patients above 65 a double chamber is a must. He wasn’t put on the waiting list at the right time n he lost consciousness several times, which actually lead him to have no taste, his hearing has been impaired, sense of smell completely gone, he can’t feel the left side of his arm n leg, n since he has been diabetic for 25 years he got glaucoma, high IOP, cataracts where he lost one eye n the other one he has only 35% vision. Basically everything happened overnight after the doctor wasn’t wise enough to do his surgery on time. Ur video is to the point n really described. Thank u

EarthAngel

thank you guys so much for making this video! i was diagnosed with complete heart block at the age of 9 and had a pace maker fitted, ive now had it for about 8 years and they didn't really tell me much about my condition (because i was to young to understand) but its really cool watching these videos and it helps me understand alot more about my condition thanks!

lilafraser

You're a good teacher

You breakdown concepts in such a simplified manner easy to grasp 👏👏👏👏

muyundamubita

Thank you. This video is more helpful and easy to understand than my professors' lecture.

akashtandel

Great video, consolidation a lot for me! I wanted to add that a dual chamber pacemaker can only have a ventricular spike on ecg in the situation where the atria is conducting intrinsically above the threshold for the atrial lead.

willtucker

2 hours of studying simplified in 6 mins. I can’t say thank you enough

reticenceofpain

So helpful for people educating themselves on such an important topic! Thank you

cardiaccarly

thank you so much Tom! your contents are always appreciated and so concise/easy to understand 😊😊

darylwong

Fantastic, and easy to understand even for layman.

osamaali

Thank you for such a straight forward & simple explanation of pacemakers. You did such a great job, I am going to look through your other videos you have shared. Thanks so much!

andreafarrar

Thank you for this vid I had a pacemaker put in me a month ago. Apparently, I've got a transient anode heart block whatever that is. But thank you NHS for sorting me out. The only snag now is I've got to carry around this Biotronic monitor thing all the time. It looks like a mobile phone only it's not. Once an hour it transmits data of my heart rate to them.

merlinadams