The fastest growing population segment in the United States, seniors commonly undergo pacemaker implantation. Although doctors' offices typically provide short pamphlets on pacemaker implantation, there is rarely any comprehensive yet understandable reference material for the patients to obtain...until now. Explaining the "what, why, and how" of pacemaker implantation, this invaluable new guide provides an in-depth summary of pacemakers, from the initial patient evaluation and device implantation to the issues that could potentially arise during a long-term follow up. Expertly designed to educate patients under evaluation for a pacemaker, the guide also features a comprehensive section on complications that is extremely valuable for a primary care provider's knowledge base. By thoroughly summarizing the most important issues that patients and their families encounter during the pacemaker implantation process, this wonderful book is an invaluable priceless educational guide designed specifically with the most important audience in mind...the patients. What is a Pacemaker? A Cardiologist's Guide for Patients and Care Providers is a complete reference tool for patients who are undergoing, or have undergone, pacemaker implantation. From doctor selection to long-term care issues, this informative guide by Dr. Jeffrey L. Williams covers everything from A to Z. Easy to read, wonderfully exceptionally organized, and extraordinarily helpful, this priceless resource should be read by pacemaker patients everywhere. The first book of its kind dedicated exclusively to pacemaker patients and their care providers, What is a Pacemaker? provides the same references and knowledge that cardiologists use but at a level more easily digestible for patients, their families, and their primary care providers. Packed from cover to cover with valuable information, this practical guide presents the perfect reference material for anyone whose life has been touched by pacemakers. Williams is board-certified in internal medicine, cardiovascular disease, and clinical cardiac electrophysiology, and is currently medical director of electrophysiology at The Good Samaritan Hospital. He double majored in biomedical and electrical engineering at Vanderbilt University and then went on to obtain his master's degree in bioengineering from the University of Pittsburgh, where he was awarded a Keck Fellowship for graduate school. Earning his medical degree from Drexel University in Philadelphia, he then went on to complete five years of fellowship training in both cardiovascular diseases and clinical cardiac electrophysiology at the University of Pittsburgh Medical Center. Possessing extensive knowledge and a unique background in both engineering and cardiology, Williams has earned numerous accolades within the academic and clinical settings, including awards from both the American College of Cardiology Foundation and the National Institutes of Health. Dr. Williams directs the only community-hospital based Heart Rhythm Center in the U.S. to publish outcomes for pacemaker and defibrillator implantations. "Numerous books have been published about pacemakers since they were introduced in the 1950's but they've all been addressed to the same audience: health care professionals. This book by Williams, which is directed to patients and their families, answers in a clear and concise way all questions surrounding pacemaker implantations: the before, the during, and the after. A must read for anyone who's been prescribed pacemaker therapy..." - Samir Saba, MD, FACC, FHRS, Director, Cardiac Electrophysiology, Associate Professor of Medicine, Associate Professor in Clinical and Translational Science, University of Pittsburgh Medical Center.
Ever since the first pacemaker implantation a little more than 50 years ago, the pacemaker has developed from a simple piece of technology into a multi-programmable device with hundreds or even thousands of programming combinations. In the United States, approximately 200,000 new patients have a pacemaker implanted every year, and the number is increasing, due to both the aging population and new indications. Care for these patients includes not only diagnosis and implantation of the pacemaker system but also periodic check-ups of the implanted system using technical measurements and clinically well-grounded programming to assure optimal treatment. In this book you will find information about: - How to program different parameters - What measurements should be performed, and how to use the results - How to interpret stored data - Strategies for follow-up - Troubleshooting Since the correct programming of the device may very well be the most important aspect of successful treatment, this book is intended to be a tool for both the beginner and the more experienced caregiver alike, to be read from the beginning to the end, or to be used as a reference when questions arise.
The classic medical textbook tends to be overly technical, excessively detailed, profusely referenced, and the antithesis of enjoyable reading. With the expectation of many hours of hard work, I lvas unprepared for the pleasure that lay ahead. This book is what we in the United States call a « sleeper ». Without pomp or solemnity it captures you with a light-hearted style that subtly belies its sophistication. The authors have indeed mastered the art of simplicity, combining profound knowledge with an airy format, to a degree that is hard to emulate. All the salient features o. fpacing are presented here, from history and pathology to complications and long-range follow-up. Perhaps it is a mark of excellence, rather than a confession of my personal ignorance, to say that there is scarcely a section that did not provide me with a new bit of information or a new insight. Permanent pacing o. f the heart is so common nowadays, at least in the more affluent sections 0. 1' the world, that almost every person must know of someone with an implanted pacemaker. In the United States, where there are more than 100, 000 new implants each year, almost every sizeable hospital has a pacemaker implantation service and almost every physician in a related field is interested in doing this surgery. All that should really be required is that the surgeon make himself an expert.
After more than a decade of successful application of cardiac pace makers in the therapy of cardiac rhythm disorders, technological and clinical experience has reached a level, at which a technical survey of this field should be of general interest and might promote the further improvement of pace maker therapy. The papers contained in this book were presented at the International Symposium on Advances in Pacemaker Technology, held at Erlangen on Sep tember 26 and 27,1974 under the auspices of the Societas Physica Medica Erlangensis. One of the traditional aims of the Societas has been the advance ment of diagnosis and therapy by the adaptation of medical skill to modern technology and scientific engineering conceptions. The major objective of this book is to present, in expanded form, the lectures given by internationally known basic and clinical researchers in the field of artificial pacing of the heart and to make that information available to a wider public. The experience discussed covers the principles and main methods of pacing using implantable and external, fixed rate, R-wave or P-wave triggered pacemakers with electrodes placed in the myocardium either surgically or transvenously, and powered by zinc-mercury oxide or rechargeable batteries. Particular emphasis was put on problems of pressing importance at the present time, such as the increase of pacemaker longevity with lithium iodide and nuclear-powered batteries or improved electrodes, as well as the postoperative management of a steadily increasing number of pacemaker patients.
As Jeffrey shows, the pacemaker (first implanted in 1958) and the ICD (1980) embody a paradox of high-tech health care: these technologies are effective and reliable but add billions to the nation's medical bill because of the huge growth in the number of patients who depend on implanted devices to manage their heartbeats.
Over the years we have heard many complaints that there is no verysimple book on cardiac pacing for real beginners. We have alsoheard that all the books on cardiac pacing are too complicated andimpossible to understand by beginners. Many have voiced the hopethat one day someone would write a book in the same style asDubin’s book on basic electrocardiography which is a hugebestseller with well over a million sold in many languages. A‘Dummy’ book on cardiac pacing would appeal to nurses,cardiology technicians, medical students and pacemaker companiesfor training their staff. We started with the assumption that the reader would know theprinciples of electrocardiography as in Dubin’s book butnothing about cardiac pacing. We carefully studied the Dubin bookand believe that we have improved his teaching method. The bookconsists of numbered illustrations each illustrating a concept inthe form of a diagram drawn professionally. We have been careful tomake the artwork simple for easy comprehension. Each illustration will occupy a page and have several lines oftext below it. We have already completed most of these. It isessential that there are all in color, this is a unique sellingpoint. The 3 authors have had vast experience in the field. Dr Baroldhas published 10 books on cardiac pacing and wrote the section oncardiac pacing in the 4th and 5th Edition of Braunwald’sbook, Heat Disease." S. Serge Barold, Roland Stroobandt and Alfons Sinnaeve Content: The plates depicting a concept with occupy 1 pages. Each plateconsists of a diagram and a short text. All diagrams are in color. In black and white they would losetheir teaching value There will be approx 200 plates. There will be approx 100 electrocardiograms. There will be a glossary, appendices and index
Since 1958, when the first cardiac pacing system was implanted, the exemplary collaboration between medicine and engineering has developed into an extremely successful therapy. The book highlights many of the recent and most important technological advances and shows the multidisciplinary nature of the technical task of pacemaker development which is based on the diverse components of physiology, electronics, physics, electrochemistry and the material sciences.
Cardiac pacing has proven to be beneficial not only for patients with primary bodycardias but also those with conditions such as tachycardias and cardiomyopathies. In this volume, clinicians have provided information on developments and controversies within the field of cardiac pacing.
The Heart is a specialized muscle that contracts regularly and continuously, pumping blood to the body and the lungs. Heart's natural Pacemaker, the SA node is responsible for this pumping action by causing a flow of electricity through the heart. These electrical impulses cause the atria and ventricles to contract and thereby pump the blood to different parts of the body. Malfunction of the SA node leads to a disturbance in the heart's rhythm in which heart beats lower than 60 times a minute ending up with Bradycardia. It also leads to ventricular arrhythmia which disrupts the ability of the ventricles to pump blood effectively to the body. This can cause a loss of all blood pressure leading to cardiac arrest and eventually death. In order to restore the heart's natural healthy rhythm, an artificial pacemaker is necessary. A Pacemaker adapts to the present condition of the heart and responds to the heart by either pacing or just sensing it. It paces whenever there is some problem in the heart's electrical activity and inhibits the pace when there is a proper intrinsic beat. There are various modes in which Pacemaker can operate based on the condition of the heart. Ventricles and atria are individually paced in few modes such as VOO, VVT, VVI, AOO, AAT, and AAI and paced together in some modes such as DVI, DI, DDD, DDDR as per the requirement of the heart. The main goal of this report is to understand the various modes, their nomenclature, working strategy, developing the pseudo code and implementing different modes namely VOO, AOO, VVI, AAI, VVT and AAT modes using an academic, dual chamber pacemaker.
A complete, how-to-do-it guide to planning, programming, implementing, and trouble-shooting todays pacemakers and other implantable cardiac devices Edited by a team of leading clinician-educators this is a practical, go-to reference for trainees and clinical staff who are new to or less experienced with the programming and management of implantable devices. It distills device best-practices into a single, quick-reference volume that focuses on essential tasks, common pitfalls, and likely complications. Each chapter follows a hands-on, how-to-do-it approach that helps readers quickly master even the most challenging device-related taskssuch as programming and how to respond confidently when complications arise. Todays pacemakers and other implantable EP devices are to earlier versions what smart phones are to rotary phones. They are not only smaller and more comfortable; they offer complex programming options that allow clinicians to adapt a device to individual patient requirements. As they continue to become smaller, smarter, and more adaptable, these devices also become more challenging for clinicians to set up, manage and monitor. This unique, quick-reference guide dramatically reduces the learning curve for mastering this essential technology by giving doctors and technicians the how-to information they need. Focuses on tasks clinicians perform, including pre-implementation, planning, programming, management, troubleshooting, and more Shows how expert clinicians achieve optimal outcomes in their own labs with real-world examples Features more than 300 images, including ECGs, X-ray and fluoroscopy, images from device interrogation, intracardiac electrograms, and color electoanatomical maps Provides eight videos on an accompanying website demonstrating key tasks and techniques Also available in an eBook version, enhanced with instructional videos, How-to Manual for Pacemaker and ICD Devices is an indispensable tool of the trade for electrophysiologists, fellows in electrophysiology, EP nurses, technical staff, and industry professionals.
Each year, about 200,000 pacemakers are implanted in the United States. This volume teaches young readers about the importance of pacemakers and how they help those who are suffering from heart conditions. The accessible narrative and fact boxes present this sensitive subject in a way that is easily understandable for early learners. They'll learn how people with pacemakers can live normal and healthy lives. Eye-catching illustrations of colorful characters, such as the heart and a pacemaker, create a fun-filled reading experience that makes a tough topic seem less scary.
