Why is functional integrity assessed prior to perioperative management of permanent pacemakers (PPMs) and automatic implantable cardioverter-defibrillators (AICDs)?

Updated: Oct 29, 2018
  • Author: Albert H Tsai, MD; Chief Editor: Sheela Pai Cole, MD  more...
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Answer

Answer

Assessing the integrity of the CIED’s leads and battery is another crucial step in the perioperative management of the surgical patient; a pacer-dependent patient with defective sensing, pacing, or battery function would be better served by a visit to the electrophysiologist before undergoing an elective procedure. Information about a CIED's functional integrity can be obtained from the pacer interrogation report or by placing a telephone call to the service representative.


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