Contemporary pacemaker and defibrillator device therapy: challenges confronting the general cardiologist.
نویسنده
چکیده
Intracardiac pacemaker and defibrillator implantations were initially described a half century and a quarter century ago, respectively.1,2 Originally conceived as devices for the treatment of symptomatic bradycardia and sustained ventricular tachyarrhythmias, these therapies have subsequently been applied to the management of an increasing host of arrhythmia and other indications, including the treatment of heart failure.3 Although underuse of this technology has occasionally been reported,4 it has become abundantly clear that the number of patients deriving benefit from device therapy has risen exponentially; cardiac electrophysiology and pacing has emerged as a subspecialty within cardiology to address the growing needs of cardiac rhythm management.5 It is, nonetheless, incumbent on the general cardiologist to become proficient in certain aspects of device therapy.6 The goals of the present review are to highlight some of the fundamental areas of knowledge essential for follow-up, to provide an update on newer applications of device therapy, and to address some of the more common challenges and clinical scenarios encountered by the general cardiologist.
منابع مشابه
Pacemakers and implantable cardioverter defibrillators--general and anesthetic considerations.
A pacemaking system consists of an impulse generator and lead or leads to carry the electrical impulse to the patient's heart. Pacemaker and implantable cardioverter defibrillator codes were made to describe the type of pacemaker or implantable cardioverter defibrillator implanted. Indications for pacing and implantable cardioverter defibrillator implantation were given by the American College ...
متن کاملUnderutilization of -Blockers in Patients Undergoing Implantable Cardioverter-Defibrillator and Cardiac Resynchronization Procedures
Background—Current guidelines emphasize the need for optimal medical therapy before implantation of cardiac devices (implantable cardioverter-defibrillator, cardiac resynchronization therapy). Our objective was to evaluate use of -blockers (BB) among patients with heart failure undergoing a cardiac device procedure. Methods and Results—We used a large, multistate, managed-care database (January...
متن کاملExperience with cardiac MR imaging of patients with legacy ICDs or pacemakers
Background Previously, non-MR compatible pacemakers (PM) and cardiac defibrillators (ICDs) have been considered contraindication for MRI scanning. Device failure, lead tip heating, and patient discomfort have been of concern. Few institutions are currently scanning patients with these devices due to these concerns or lack of monitoring support. Additionally, cardiac imaging has been a unique ch...
متن کاملComparison of the effect of training by video and group discussion on the level of stress, anxiety, depression and self-efficacy of patients undergoing pacemaker and cardiac implantation defibrillator
متن کامل
Pacemaker lead endocarditis with hiccups (Kalayci)
Background: Lead-related infections that might develop after pacemaker implantation associated with high mortality and morbidity rates are challenging to manage and pose high-cost. Patients with lead-related infections usually present with fever, chills and fatigue and the treatment can be challenging unless the implant system is extracted. Case presentation: A 66-year old male patient who und...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Circulation
دوره 115 5 شماره
صفحات -
تاریخ انتشار 2007