WorkShop_CIED

Q1: What is the most appropriate management?

• Add carvediolol 6.25 mg daily

• Catheter ablation of PVCs

• Upgrade to dual-chamber ICD

• Upgrade to CRT-D system

Q2: What is the most appropriate management?

• 1.Lidocaine IV

• Amiodarone IV

• Urgent catheter ablation of PVC

• Check electromagnetic interference

Q3: What is the most appropriate management?

• Lidocaine IV

• Amiodarone IV

• Urgent catheter ablation

• Left stellate ganglion block

Q4: What is the most appropriate management?

• Dobutamine ± NTG IV

• Add HCTZ

• Consult chest for bronchoalveolar lavage

• CT chest

Q5: 90-year-old M CHB s/p D-PPM, management?

• Add amiodarone 

• Adjust atrial sensitivity

• adjust AV delay

Q6: 60-year-old M: ICM s/p D-ICD implantation presented with ICD shocks, management?

• Add amiodarone 

• Adjust atrial sensitivity

• adjust AV delay

• Ablation

Q8: 76 years old single chamber PPM recently implanted, Vp 97.6% presented with neck pounding, next step investigation?

• Add amiodarone 

• CXR

• turn off PPM

• Ablation

Q9: Non responder CRT, female 56 years old, recurrent HF hospitalization, management?

• Refer to HTx

• LVAD

• adjust AV delay

• adjust VV delay

Q10: Where are you pacing at?

• His bundle

• RV septum

• LV septum

• LV free wal

Q11: 57 years old ICM s/p biventricular implantation presented with HF hospitalizations, mx?

• Add amiodarone 

• increase RV pacing output

• Modify LV output