Basics of cardiac pacing: selection and mode choice

Pacing in heart failure: patient and pacing mode selection.

Pharmacological therapy in the management of heart failure has been proven and is well established. In the last decade ACE inhibitors, betablockers, spironolactone and digoxin have contributed to a reduction in mortality of nearly 50%, a reduced frequency of hospital admissions and improvement in quality of life. However, congestive heart failure still endures a high overall annual mortality of...

Physiologic pacing: where pacing mode selection reflects the indication.

Results of recent trials suggest that in patients with left ventricular dysfunction, interventricular synchrony is possibly more important than atrioventricular synchrony. In patients with AV block and conduction system disease, alternatives to right ventricular apical pacing are therefore needed.

Stroke and pacing mode: is pacing mode important?

inus node disease, atrioventricular conduction disease, atrial brillation, and stroke all have markedly increased incidence in he elderly. Thus, there is frequently an overlap of these onditions. Many patients with pacemakers develop atrial brillation (1–3), and many patients with atrial fibrillation have oncomitant sinus node dysfunction and receive pacemakers. his is not surprising in that th...

Pacing mode selection in patients with sick sinus syndrome.

INTRODUCTION SICK SINUS SYNDROME The sinus node is composed of a collection of specialised pacemaker cells embedded in a fibrous matrix that lies in the sulcus terminalis between the superior vena cava and the right atrial appendage. The sinus node serves as the primary cardiac pacemaker and controls the heart rate in normal individuals. Recent research indicates, that the sinus node is a heter...

Pacemaker mode selection and survival: a plea to apply the principles of evidence based medicine to cardiac pacing practice.