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Cardiac Pacemakers and Resynchronization Step by Step : An Illustrated Guide

ISBN: 9781405186360 | 1405186364
Edition: 2nd
Format: Paperback
Publisher: Wiley-Blackwell
Pub. Date: 8/23/2010

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SummaryTable of ContentsAuthor Biography
This new edition of the bestselling step-by-step introduction to cardiac pacemakers now includes additional material on CRT and an accompanying website. It retains the effective use of full-page illustrations and short explanations that gained the book such enormous popularity and now provides information on recent advances in cardiac pacing, including biventricular pacing for the treatment of heart failure.

Univ. of South Florida, Tampa. Provides a guide through the implementation and maintenance of cardiac pacema... MORE
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Preface to the first edition
Preface to the second edition
Abbreviations
Color Plate Section
What is a pacemaker?
Recording pacemaker activity
Fundamentals of electricity
Ventricular stimulation
Pacing leads
Sensing - basic concepts
Sensing - advanced concepts
Basic pacemaker electrocardiography
Other single chamber pacemakers
DDD pacemakers - basic functions
DDD pacemakers - upper rate response
Atrioventricular interval
Retrograde ventriculoatrial synchrony in dual chamber pacemakers
All dual chamber pacemakers function in the DDD mode
Types of lower rate timing
Atrial capture
Automatic mode switching
Pacemaker radiography
Oversensing
Troubleshooting
Pacemaker hemodynamics and rate-adaptive pacing
Pacemaker tachycardias - Part 1
Pacemaker tachycardias - Part 2
Treatment of tachycardia
Pacemaker interference
Pacemaker follow-up
Remote pacemaker monitoring
Special functions
Biventricular pacing and cardiac resynchronization
Conclusion
Text: Overview of cardiac pacing and cardiac resynchronization Cardiac pacing
Implantation
Basic function
Power source
Rate or interval?
Single chamber pacemakers
Basic electricity
Chronic pacing threshold and safety margin
Sensing
Polarity: unipolar versus bipolar pacing and sensing
Ventricular fusion and pseudofusion beats
Operational characteristics of a simple DDD pacemaker
Crosstalk and crosstalk intervals
Increasing complexity: our simple DDD pacemaker grows to nine intervals
Upper rate response of DDD pacemakers
Lower rate timing of dual chamber pacemakers
Phantom programming
Programmability of lower rate
Endless loop tachycardia
Repetitive non-reentrant VA synchrony: the cousin of endless loop tachycardia
Types of dual chamber pacemakers
Overdrive suppression and the underlying rhythm
Pacemaker hemodynamics
Rate-adaptive pacemakers
The pacemaker stimulus
Magnet mode
Normal QRS patterns during right ventricular pacing
Left ventricular endocardial pacing
Manifestations of myocardial infarction in the paced rhythm
Cardiac memory
Pacemaker alternans
Complications of pacemakers
Non-electrical complications
Electrical complications
Automatic mode switching
Minimizing right ventricular pacing
Effect of drugs and electrolyte imbalance
Magnet application
Capture verification algorithms
Keeping good records
Factors influencing pacemaker longevity
Pacemaker follow-up
The pacemaker as an implantable Holter system
Special functions of pacemakers
Cardiac resynchronization (CRT)
CRT hemodynamics
CRT with only left ventricular pacing
New York Heart Association class I and II patients with left bundle branch block and depressed left ventricular function
Right bundle branch block
CRT in patients with a narrow QRS complex
Impact of CRT
Alternative routes to left ventricular pacing
What is a CRT responder?
Complications of CRT implantation
Impact of comorbidities
Programming of CRT devices
Atrial fibrillation and atrial tachyarrhythmia
Congestive heart failure after CRT
Arrhythmias after CRT
Appendix: Guidelines
American guidelines for pacemaker implantation
European guidelines for pacemaker implantation
Commentary
Further Reading
Index
Table of Contents provided by Publisher. All Rights Reserved.
S. Serge Barold, University of South Florida College of Medicine, Tampa, FL, USA

Roland X. Stroobandt

Alfons F. Sinnaeve



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