Cardiac Pacing and ICDs

The consummate guide to cardiac pacing and defibrillator therapy in a clinical setting

Designed to provide clinicians and fellows with a complete, up-to-date breakdown of current device therapies for pacing and defibrillation, Cardiac Pacing and ICDs reflects the latest developments in the device treatment of heart rhythm abnormalities. Topics ranging from essential principals to new and innovative techniques are explored in focused chapters, illustrated with full-color images, charts, and diagrams. Addressing every aspect of permanent and temporary pacing and defibrillation therapy, this invaluable resource covers patient indications, pacing mode selection, implantation and removal techniques, troubleshooting, and much more.

The seventh edition has been expanded and revised to enable clear and practical understanding of the field as it exists today. Drawing upon real-world experience and cutting-edge research, it offers accessible, systematic guidance with a clinical focus, as well as a wealth of bitesize tips and tricks. Access to a new companion website provides insightful supplementary material, complete with downloadable images and video clips of key techniques. This essential book:

    Provides an intuitive, easy-to-navigate guide to cardiac pacing techniques and devices
    Explains pacing hemodynamics in practical, clinically relevant terms
    Features simple algorithms for mode selection and device programming
    Offers details of novel pacing systems and techniques, such as leadless pacemaker and His bundle pacing.
    Covers pacemaker timing cycles, special features, and evaluation and management of pacing system malfunctions
    Summarizes indications and details implantation techniques of ICDs, including transvenous and subcutaneous systems
    Includes best practices in MRI safety, patient consultation, and remote patient follow-up

Cardiac Pacing and ICDs is an ideal resource for clinicians and fellows in cardiology and electrophysiology, those preparing for the IHRBE Examination in Devices, and any nurses, technicians, and other professionals caring for patients with implantable cardiac devices.

Table of contents

List of Contributors vii

Preface ix

Acknowledgments xi

1 Indications for permanent cardiac pacing 1
Roy M. John

2 Basics of cardiac pacing: components of pacing, defibrillation, and resynchronization therapy systems 33
Justin Z. Lee, Vaibhav Vaidya, and Siva K. Mulpuru

3 Hemodynamics of cardiac pacing and pacing mode selection 69
Bruce S. Stambler, Niraj Varma, and Michael Hoosien

4 Temporary cardiac pacing 117
T. Jared Bunch, Jeffrey S. Osborn, and John D. Day

5 Techniques of pacemaker and ICD implantation and removal 131
Joseph E. Marine, Charles J. Love, and Jeffrey A. Brinker

6 Pacemaker timing cycles and special features 207
Jose F. Huizar

7 Evaluation, troubleshooting, and management of pacing system malfunctions 265
Karoly Kaszala

8 The implantable cardioverter–defibrillator 315
Michael E. Field and Michael R. Gold

9 Cardiac resynchronization therapy 357
Yong-Mei Cha and Ammar M. Killu

10 ICD follow-up and troubleshooting 395
Kevin P. Jackson

11 Follow-up of the patient with a CIED 417
Arun R.M. Sridhar and Kristen K. Patton

Index 441

KENNETH A. ELLENBOGEN, MD, Kimmerling Professor of Cardiology and Chairman of the Division of Cardiology, VCU / Pauley Heart Center, and Director of Clinical Cardiac Electrophysiology and Pacing, Medical College of Virginia / VCU School of Medicine, Richmond, VA, USA.

KAROLY KASZALA, MD, PHD, Associate Professor of Medicine, VCU / Pauley Heart Center, Medical College of Virginia / VCU School of Medicine, and Director of Electrophysiology, Hunter Holmes McGuire VA Medical Center, Richmond, VA, USA