Module 8: Pacemaker Interpretation — ECG Academy

Telemetry-first pacemaker recognition for monitor techs: paced naming, spike/capture interpretation, chamber-pattern recognition, BiV and rate-responsive behavior, and malfunction escalation.

Lessons

• Pacemaker Basics and Indications — Why pacemakers are used, what monitor techs should recognize first, and how telemetry naming maps to
• Pacemaker Spikes, Capture, and Artifact — Identify true pacemaker spikes, confirm capture, and separate paced activity from artifact before es
• A-Paced Patterns (Single-Chamber Atrial) — Recognize atrial-paced patterns, confirm atrial capture, and separate expected A-paced behavior from
• V-Paced Patterns (Single-Chamber Ventricular) — Recognize ventricular-paced patterns, avoid VT misclassification, and escalate meaningful V-paced ch
• AV-Paced and Dual-Chamber Patterns — Interpret AV-paced and dual-chamber pattern variation without overcalling malfunction.
• BiV-Paced and Rate-Responsive Patterns — Recognize BiV-paced morphology and expected activity-linked rate changes, then escalate signs of los
• Failure to Capture — Recognize failure to capture — the pacemaker fires but fails to depolarize the myocardium. Learn to
• Failure to Sense (Undersensing) — Recognize failure to sense (undersensing) — the pacemaker fails to detect native cardiac activity an
• Failure to Pace (Oversensing) — Recognize failure to pace (oversensing) — the pacemaker detects non-cardiac signals and inhibits ina