A
blood pump system includes a
catheter, a pump housing disposed distal of a distal end of the
catheter, a rotor positioned at least partially in the pump housing, a controller, and an
electrode coupled a distal region of the
blood pump. The
electrode can be used to sense electrocardiogram (EKG) signals and transmit the signals to a controller of the
blood pump. The operation of the blood pump can be adjusted based on the EKG
signal and on cardiac parameters derived from the EKG
signal. Further, the controller can determine a need for
defibrillation or pacing of the patient's heart based on the
signal and can administer treatment with electrical shocks to the heart via the
electrode coupled to the blood pump. The use of an electrode with a blood pump already in place in the heart allows for more efficient and
safer treatment of serious cardiac conditions.