Cardiac Pacemakers and Resynchronization Therapy Step-by-Step

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.... Mehr