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Cardioversion Cardioversion www.cardionursing.com 1 - - PDF document

Cardiovascular Boot Camp April 2009 Interventional Therapy Interventional Therapy for Cardiac for Cardiac Arrhythmias Arrhythmias


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SLIDE 1

Cardiovascular Boot Camp April 2009 www.cardionursing.com 1

  • Interventional Therapy

Interventional Therapy for Cardiac for Cardiac Arrhythmias Arrhythmias

  • Cardioversion

Cardioversion

slide-2
SLIDE 2

Cardiovascular Boot Camp April 2009 www.cardionursing.com 2

  • Electrical Cardioversion

Electrical Cardioversion

! "#"

! "#"

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Electrical Cardioversion Electrical Cardioversion

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SLIDE 3

Cardiovascular Boot Camp April 2009 www.cardionursing.com 3

9

Electrical Cardioversion Electrical Cardioversion

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'%"&"1*"1*"1+(& %*"/+&04 %*"/+&04 &"! &"!

2

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SLIDE 4

Cardiovascular Boot Camp April 2009 www.cardionursing.com 4

@ 4

Electrical Cardioversion Electrical Cardioversion

  • 7 %"+""(#+""(#

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slide-5
SLIDE 5

Cardiovascular Boot Camp April 2009 www.cardionursing.com 5

  • Electrical Cardioversion

Electrical Cardioversion

  • 7 $&+&+/"! 1"11

$&+&+/"! 1"11 ! 1! "+# ! 1! "+# 7 51!1A0 51!1A0 7 /& (#%"1!+ /& (#%"1!+ 7 61*(&" '"&"1! 61*(&" '"&"1! 7 %*"1*! %*"1*!

  • Electrical Cardioversion

Electrical Cardioversion

! #%"1@B"B

! #%"1@B"B

6&/&+&(&"!

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= "#"

= "#"

7 $*!/1 $*!/1

"("&$$$+(&

"("&$$$+(& 5 /""%1"" 5 /""%1""

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SLIDE 6

Cardiovascular Boot Camp April 2009 www.cardionursing.com 6

  • Treatment: Electrical Cardioversion

Treatment: Electrical Cardioversion

  • &"!""%

&"!""% %*" %*"

%!

%!

C"!++

C"!++

  • D%

D% +1 +1

)+&

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  • "1+

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  • Energy Levels for Cardioversion

Energy Levels for Cardioversion

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=! =! 9A 9A

  • 2A

2A 86 86 9A 9A

  • 2A

2A

  • =*"

=*"

  • 3 A

A 2A 2A ""1"/& ""1"/& 86 86 A A 2A 2A

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SLIDE 7

Cardiovascular Boot Camp April 2009 www.cardionursing.com 7

  • Treatment: Electrical

Treatment: Electrical Cardioversion Cardioversion

  • 7 /& (#%"1

/& (#%"1 7 6#"! "#" 6#"! "#"

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Electrical Cardioversion Electrical Cardioversion

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# &"!*"+*%"

# &"!*"+*%" %/" ! %/" !

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SLIDE 8

Cardiovascular Boot Camp April 2009 www.cardionursing.com 8

9 9

Electrical Cardioversion Electrical Cardioversion

"! "+

"! "+ 1/ !1" 1/ !1" 1++"5*" ' 1++"5*" ' %!"%# ! /! %!"%# ! /!

&"!*/""(

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2 2

Nursing Considerations in Nursing Considerations in Cardioversion Cardioversion

1+

7 $!*"!//>1*!*+ 7 1+ !+;" //&1"""/<

"#+ :#.!/1 ! ".!/1 :!"1"""

##1""+.!/1

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SLIDE 9

Cardiovascular Boot Camp April 2009 www.cardionursing.com 9

@ @

Electrical Cardioversion Electrical Cardioversion

"1/ "

"1/ "

7 1*"1;B 1*"1;B@B(&"!/"/& @B(&"!/"/& "+!"< "+!"< 7 +&&1 +&&1 7 8 !&&1(&&/"'1 8 !&&1(&&/"'1 +"5 +"5 7 " 1+&"* " 1+&"* "%1 "%1 7 " ! "%%*" " ! "%%*"

"/& &&1 !+&/

"/& &&1 !+&/ *%" "#"%"/' *%" "#"%"/'

4 4

Electrophysiology Studies Electrophysiology Studies

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SLIDE 10

Cardiovascular Boot Camp April 2009 www.cardionursing.com 10

  • EPS

EPS

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?%5%*";*/& <

7 7 +&%1"# +&%1"# 7 !* #$A* &# !* #$A* &# 7 +&%1";%*"< +&%1";%*"<

6//! !1"*!

6//! !1"*!

&

&

7 7 !/" !/" 7 "+>/ + "+>/ +

  • Catheter Placement: Typical SVT

Catheter Placement: Typical SVT Study Study

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SLIDE 11

Cardiovascular Boot Camp April 2009 www.cardionursing.com 11

  • EPS

EPS

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/ &"1" /" /"

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!% "+

7 )/", )/",

"#

"#

7 7

  • EPS

EPS

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SLIDE 12

Cardiovascular Boot Camp April 2009 www.cardionursing.com 12

  • Radiofrequency Catheter Ablation

Radiofrequency Catheter Ablation

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+/"! *&+&%.! + ! !

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6&1+" !! "%*"

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$ "

7 86;2B"%86< 86;2B"%86< 7 86;B"%86< 86;B"%86< 7 8"*" 8"*" 7 =! =! 7 =*" =*" 7 86 86

=" "+;"/& <

=" "+;"/& <

$ &1

$ &1

  • Ablation Overview

Ablation Overview

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6&'"%1++ ""!+=*"- ""!+=*"-

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SLIDE 13

Cardiovascular Boot Camp April 2009 www.cardionursing.com 13

9 9

Cryoablation Cryoablation

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1"#&%"1!

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"&"; &*<

; &*<

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)+(11/!>"&"1

)+(11/!>"&"1 !#*" !#*" "! " "! "

7 %"H "1//+I"H 1//+I %"H "1//+I"H 1//+I 7 )(&("'+ "/"51"&8 )(&("'+ "/"51"&8 "! "1 "! "1

2 2

Ablation for Atrial Fibrillation Ablation for Atrial Fibrillation

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*""%8A! "(& /1/ 1'"" /1/ 1'"" ""# ! ""# !

*""% "/ %"

*""% "/ %"

!+ > &*""%

!+ > &*""% 1 &1 1 &1

slide-14
SLIDE 14

Cardiovascular Boot Camp April 2009 www.cardionursing.com 14

@ @

Focal Ablation for Atrial Fibrillation Focal Ablation for Atrial Fibrillation

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JB"%%" /"*%" /"*%" /"51 /"51 %* "1%"1 %* "1%"1 "!0 "!0 /!1"# /!1"#

4 4

Treatment: Catheter Ablation Treatment: Catheter Ablation (Focal to Eliminate Trigger) (Focal to Eliminate Trigger)

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"%*"

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!1%//+ 6 &.! 6 &.!

!

!

" !

" !

slide-15
SLIDE 15

Cardiovascular Boot Camp April 2009 www.cardionursing.com 15

  • Treatment for Reentrant

Treatment for Reentrant Mechanism Mechanism

slide-16
SLIDE 16

Cardiovascular Boot Camp April 2009 www.cardionursing.com 16

  • Catheter Ablation

Catheter Ablation

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1"! ! *!1

1"! ! *!1 /"&&1 /"&&1

# &%/(&

# &%/(& /1%* /1%* "8"*" *!%" "" "8"*" *!%" ""

  • Special Considerations

Special Considerations

,

,

7 7 :**" ' :**" ' 7 "/#1""%1""! "/#1""%1""! "%/""/= "%/""/= 7 "(& "#""*! "(& "#""*! 7 "+! "+!

$

$

7 7 "# "# 7 1""""(8 1""""(8 7 $8 $8"&"/

"&"/ !1&*" '"

!1&*" '" "( "( 7 "+! "+!

slide-17
SLIDE 17

Cardiovascular Boot Camp April 2009 www.cardionursing.com 17

  • MAZE Procedure

MAZE Procedure

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="/(& 1/"1 =!+"+ 1/"1 =!+"+ "/&!+ "/&!+

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"%H "I& !+"%.! !+"%.! *"""&%"1"% *"""&%"1"% + +

$ " *

$ " * *" '+ "/ %" > *" '+ "/ %" > ! !

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"1/!% //+ //+

/1

/1 / 1' / 1'

Treatment: Surgical Ablation Treatment: Surgical Ablation

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"%>"5"/"

7 ""%*"B"% / ""%*"B"% / 7 " "! " *!+ " "! " *!+ ";""&1&""%""* ";""&1&""%""* "%.! 1 "(# "&1 "%.! 1 "(# "&1 +-< +-< 7 6&1&1"!"%1" !1#* 6&1&1"!"%1" !1#* %"(#%" %"(#%" 7 $ " +&/!1"#1" $ " +&/!1"#1" &&1"+ %" %"1&1"%& &&1"+ %" %"1&1"%&

  • 7 =" !"("/!1"#%

=" !"("/!1"#%

slide-18
SLIDE 18

Cardiovascular Boot Camp April 2009 www.cardionursing.com 18

9 9

Alternative Sources Used During Alternative Sources Used During Modified Maze /Cox Procedure Modified Maze /Cox Procedure

  • !"%.! +"&

!"%.! +"& &!/"! ""&&1+& &!/"! ""&&1+& " &/" !-"%.! " &/" !-"%.! !+ *"&/"#"*! %!4B"% - !+ *"&/"#"*! %!4B"% - 6&+'"%&/" !1+"!"!+ 6&+'"%&/" !1+"!"!+ ! !! &&"/&+!- ! !! &&"/&+!-

  • !

! ;" "*"<!# " ;" "*"<!# " 1/!&"!+&/"*; "/"*<" 1/!&"!+&/"*; "/"*<" "-6& &.!! "11"!+&&1 "-6& &.!! "11"!+&&1 !+"/ & "1!+&"5 !+"/ & "1!+&"5

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2 2

Treatment: Surgical Ablation Treatment: Surgical Ablation

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"

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7 *"(&!+ *"(&!+ %"! ! %"! ! "" ""

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slide-19
SLIDE 19

Cardiovascular Boot Camp April 2009 www.cardionursing.com 19

@ @

Catheter Ablation for Reentrant Catheter Ablation for Reentrant Mechanism Mechanism

+*"! "%

+*"! "% !+ *" !+ *"

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7 $1/"#1@B $1/"#1@B4B"% 4B"% /(&1 % " /(&1 % " %*" %*"

4 4

Treatment: Pacing Treatment: Pacing

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$/(& "

$/(& " %"/ +&"( %"/ +&"( "%%*""'(& "%%*""'(& &# !/ + &# !/ +

6&!"%/ +/

6&!"%/ +/ "1+/ 1' "1+/ 1' &"*/"# &"*/"#

slide-20
SLIDE 20

Cardiovascular Boot Camp April 2009 www.cardionursing.com 20

  • Treatment: Internal Atrial

Treatment: Internal Atrial Defibrillators Defibrillators

! &+.!1%"

! &+.!1%" "#""&&" ' "!* "#""&&" ' "!* "*('/ "*('/

D1" &++JA

D1" &++JA ! "1%"*E#+! & ! "1%"*E#+! & &(""%&" ' &(""%&" ' (#%"1&("!.! (#%"1&("!.! +%" "#"A +%" "#"A

Atrial Flutter Atrial Flutter

"

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%"1*& !/## !/## !!& !!& %"# #< %"# #<

/ /;!/&

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  • <

<

6(&

6(& *" *"

slide-21
SLIDE 21

Cardiovascular Boot Camp April 2009 www.cardionursing.com 21

Catheter Ablation for Atrial Flutter Catheter Ablation for Atrial Flutter

&*"%"=!

&*"%"=!

7 %! * &&1 %! * &&1 "#"/!+&&1 "#"/!+&&1 &/%"%*";/ &/%"%*";/ (& $+< (& $+< 7 &*"1"%% #& &*"1"%% #& !+%"&1"%%! !+%"&1"%%! 7 ! &" ! *B ! &" ! *B "9B(&!% "9B(&!% + +

Catheter Ablation of Atrial Catheter Ablation of Atrial Flutter Flutter

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7 5 %% "(' 5 %% "('

!*.!

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"

"&1!/%! &1!/%! " " "! " " "! / !/(&/" / !/(&/" !+ !+

7 %% / * %% / *

slide-22
SLIDE 22

Cardiovascular Boot Camp April 2009 www.cardionursing.com 22

00 00

slide-23
SLIDE 23

Cardiovascular Boot Camp April 2009 www.cardionursing.com 23

09 09

Ablation for Reentrant SVTs Ablation for Reentrant SVTs

86

86

*&"(/&("/#&

*&"(/&("/#& *" ' *" '

86(&MM"1

86(&MM"1

7 :&""1 :&""1 7 "1 "1

*& "/&(

*& "/&(

02 02

AV Nodal Re AV Nodal Re-entrant Tachycardia entrant Tachycardia

slide-24
SLIDE 24

Cardiovascular Boot Camp April 2009 www.cardionursing.com 24

0@ 0@ 04 04

slide-25
SLIDE 25

Cardiovascular Boot Camp April 2009 www.cardionursing.com 25

9 9

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SLIDE 26

Cardiovascular Boot Camp April 2009 www.cardionursing.com 26

9 9 9 9

slide-27
SLIDE 27

Cardiovascular Boot Camp April 2009 www.cardionursing.com 27

9 9

Ablation for VT Ablation for VT

"%.! *";=<&

"%.! *";=<& 1"% &" &1+1"% 1"% &" &1+1"% 1/"1 /(&# ! 1/"1 /(&# ! & ;86<&* "% & ;86<&* "% ! !&-$"/& 86 ! !&-$"/& 86 (& &!!"+%"1&8 (& &!!"+%"1&8 "!%"( - "!%"( -

$

$ /(& &1 &86 /(& &1 &86 ; !%"1D8<=& ; !%"1D8<=& #"//"1N! # #"//"1N! # ";$!+&/</ ";$!+&/</ (& "&+&1/"1 (& "&+&1/"1 !+% "86- !+% "86-

90 90

Ablation Ablation

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"('%"(& !86& "* !86& "* (&!+ (&!+

(&

(& & &

N! "$(&/

N! "$(&/ #+1!/&" ' #+1!/&" '

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(&MM! %"1

slide-28
SLIDE 28

Cardiovascular Boot Camp April 2009 www.cardionursing.com 28

99 99

Ablation Ablation

"%.! *"

"%.! *"

$ &1 &=6D

$ &1 &=6D

7 7 6!""1"/& 6!""1"/& 7 $ &1"1"/& $ &1"1"/&

"1"/&

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86% ""!+$*"

86% ""!+$*"

  • "/""/#1//+> *

"/""/#1//+> * //" & //" &

$ &1 " *" "$ &1 "/ *"

92 92

slide-29
SLIDE 29

Cardiovascular Boot Camp April 2009 www.cardionursing.com 29

9@ 9@

Ablation for Ischemic VT Ablation for Ischemic VT

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" / 1//+"%

&+"%/ 1//+

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  • 7 6& "+#"#!*1//+!

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  • 7 " "(! "1*""%&("

" "(! "1*""%&(" //" &- //" &-

94 94

slide-30
SLIDE 30

Cardiovascular Boot Camp April 2009 www.cardionursing.com 30

9 9

Ablation for Ischemic VT Ablation for Ischemic VT

  • !"

" #$%"& #$%"& ' ' (')*+ (')*+ " " ''' ''' )*+ ( )*+ ( )*+, )*+, " " & &

  • 2

2

Complications of Ablation Complications of Ablation

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slide-31
SLIDE 31

Cardiovascular Boot Camp April 2009 www.cardionursing.com 31

2 2

ICD Therapy ICD Therapy

! "1" "1/"

! "1" "1/" !+&/ !+&/

7 9 999B! "1" 99B! "1" "1/"!+ "1/"!+

1/#"

1/#"

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2 2

Assumed Criteria for ICD Assumed Criteria for ICD

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/ % %"

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  • " !#* !

" !#* ! "%" "1/#* "%" "1/#*

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slide-32
SLIDE 32

Cardiovascular Boot Camp April 2009 www.cardionursing.com 32

2 2

ICD Function ICD Function – Rhythm Rhythm Detection Detection

$

$

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20 20

ICD Termination Therapies ICD Termination Therapies

6

6 & + & +

7

  • 7 H"(I86O

H"(I86O 7 ! !#"%/"+11*!1*"%

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*!(&/"+# + +&*(/ *- +&*(/ *-

7 1 + 1 +"(! #

"(! # *!"*#&" +& *!"*#&" +& ;%<- ;%<-

"#"&" '

"#"&" '

%*+&" '

%*+&" '

slide-33
SLIDE 33

Cardiovascular Boot Camp April 2009 www.cardionursing.com 33

29 29

ICD Function ICD Function ATP ATP-Antitachycardia Pacing Antitachycardia Pacing

&!

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  • 22

22

ICD Functions ICD Functions

7 #' #'

#&" '%"1-"N"! &"

#&" '%"1-"N"! &" "&(# "&(#

slide-34
SLIDE 34

Cardiovascular Boot Camp April 2009 www.cardionursing.com 34

2@ 2@

ICD Function ICD Function

7 (' ('

#&+&+;

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24 24

Management Options for VT Storm Management Options for VT Storm

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7 7 6&" /!&;6 6&" /!&;66< 6< 7 :&//" & :&//" &

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slide-35
SLIDE 35

Cardiovascular Boot Camp April 2009 www.cardionursing.com 35

2 2

Complications Related to Pacemaker / Complications Related to Pacemaker / ICD ICD

"1/ ""%!* #8 '

"1/ ""%!* #8 '

7 !1"&"5 !1"&"5 7 ?1"&"5 ?1"&"5 7 !* #/! ! !* #/! ! 7 1*"1 1*"1 7 + + 7 &/5!N! &/5!N!

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Complications Related to Pacemaker / Complications Related to Pacemaker / ICD ICD

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SLIDE 36

Cardiovascular Boot Camp April 2009 www.cardionursing.com 36

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Complications Related to Pacemaker / Complications Related to Pacemaker / ICD ICD

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SLIDE 37

Cardiovascular Boot Camp April 2009 www.cardionursing.com 37

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