How do you assess and manage potential complications related to patients with implanted cardiac resynchronization therapy (CRT) devices?

Sample interview questions: How do you assess and manage potential complications related to patients with implanted cardiac resynchronization therapy (CRT) devices?

Sample answer:

Assessment of Potential Complications:

Device-Related Complications:

• Device dislodgement: Assess for signs and symptoms of device migration, such as chest pain, palpitations, or shortness of breath.
• Lead failure: Check leads for integrity, monitor lead impedance and threshold values.
• Infection: Observe for signs and symptoms of infection, including fever, chills, or drainage.
• Electrode perforation: Monitor for chest pain, cardiac arrhythmias, or pericardial effusion.

Procedural Complications:

• Cardiac tamponade: Monitor for hypotension, muffled heart sounds, and jugular venous distension.
• Pneumothorax: Assess for respiratory distress, subcutaneous emphysema, or chest pain.
• Vascular injury: Observe for bleeding, hematoma, or distal limb ischemia.

Other Complications:

• Arrhythmias: Monitor for new or worsening arrhythmias, especially atrioventricular block.
• Heart failure exacerbation: Assess for worsening symptoms of dyspnea, fatigue, or edema.
• Ventricular asynchrony: Evaluate patient for symptoms of reduced cardiac output or mechanical ventilation.

Management of Potential Complications:

Device-Related Complicatio… Read full answer