Pacemakers in Patients with Bradycardia and Other Specific Conditions
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Clinical Applications of Pacemakers in Patients with Bradycardia and Other Specific Conditions
This chapter explains the foundations for permanent pacing and proposes a rational and critical approach about the indications for stimulation which are supported by current scientific evidence. We also review stimulation mode selection in different clinical scenarios, technical aspects of implantation, and outline a follow-up program for patients who carry stimulation devices. We consider conv...
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Sir, The important paper by Shaw et al (1985;53: 587-93) showed that elderly patients with persistent type I second degree heart block have a poor prognosis. They concluded that in the absence of special circumstances these patients should receive permanent pacemakers. Indications for pacemaker implantation have changed and we need to consider the findings of Shaw et al in the light of current ...
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Apart from support of heart rate in patients of symptomatic bradycardia, in the last two decades, the indications of pacemakers have widened to prevent arrhythmias, optimise hemodynamic functions and suppress tachyarrhythmias. Pacemakers have been successfully used in Hypertrophic Obstructive Cardiomyopathy (HOCM) to reduce LVOT gradient and in improving cardiac output in patients of dilated ca...
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Permanent pacemaker implantation is an established mode of life saving therapy for patients with symptomatic bradycardia. As the human population is aging world-over, the need for pacemakers are also increasing. Reviewing the results of the 2001 World Survey on Cardiac Pacing and Implantable Cardioverter Defibrillators (Table 1), it is evident that not all patients who require pacemakers are re...
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Volume 71, Number 8 www.aafp.org/afp American Family Physician 1563 S ince the first permanent pacemaker was implanted in 1958, device therapy has continued to grow. It is estimated that more than 300,000 patients in the United States receive a permanent pacemaker each year, and about 900,000 pacemakers are implanted worldwide. The indications for pacemaker therapy have expanded in the past 45 ...
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