The Nuts and bolts of Paced ECG Interpretation (Nuts and Bolts Series


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Table of Contents


Before We Start ….

Part I Timing Cycles and Troubleshooting Review.

1 Calculating Rates and Intervals.

2 Pacing Spikes.

3 The Basics of Capture and Sensing.

4 In Depth: Modes.

5 Ventricular Sensing.

6 Pacing Intervals.

7 Loss of Capture.

8 Oversensing.

9 In Depth: Sensing.

10 QRS Morphologies.

11 Fusion and Pseudofusion.

12 In Depth: Single-Chamber Timing Cycles.

13 Intermittent Oversensing.

14 Undersensing.

15 Hysteresis Intervals.

16 In Depth: Hysteresis.

17 Rate Response.

18 Annotated ECGs.

19 AV Synchrony.

20 Atrial Tracking.

21 AV Conduction.

22 States of Dual-Chamber Pacing.

23 Maximum Tracking Rate.

24 Pacemaker Multiblock.

25 Pacemaker Wenckebach.

26 Pacemaker-Mediated Tachycardia.

27 Mode Switching.

28 In Depth: Upper-Rate Behavior in Dual-Chamber Pacemakers.

29 Troubleshooting the Paced ECG.

30 More Troubleshooting the Paced ECG.

31 Automatic Capture Algorithms.

32 Capture Testing.

33 In Depth: Basic Troubleshooting Guide.

34 Navigating the Intracardiac Electrogram.

35 Tracings from a Programmer (Combining E-grams with the ECG).

36 Stored Electrograms.

37 In Depth: Electrograms.

38 Conclusion.

Part II Workbook.

Introduction to Workbook.






About the Author

Tom Kenny
Vice President Clinical Education & Training
St. Jude Medical
Austin, TX, USA


This is a concise, well-written introduction to the interpretation of paced rhythms with many well-done recreated practice ECGs that both educate and challenge readers. ( Doody's Reviews , October 2009)

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