What is a common method used for evaluating lead integrity after placement?

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Evaluating lead integrity after placement is crucial for ensuring the effectiveness of cardiac devices. Electrocardiogram (ECG) monitoring is an established method for assessing lead function because it allows healthcare professionals to observe the electrical signals generated by the heart and how they are being conducted through the leads.

This method provides real-time data on the pacing thresholds, sensing capabilities, and overall lead integrity. Any abnormalities in the pacing spikes or unexpected changes in the heart's electrical activity can indicate problems with the lead, such as dislodgement, fracture, or insulation failure.

In contrast, while patient interviews may provide subjective insights, they do not offer quantitative data about lead performance. Standard blood tests do not relate to the electrical function of cardiac leads and are not useful for evaluating their integrity. Ultrasound imaging can visualize heart structures but is not typically used for assessing lead integrity and performance in the same manner as ECG. Hence, ECG monitoring stands out as the most effective and commonly utilized method for this purpose.

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