Cardiac Pacemakers: Function, Troubleshooting, and Management

Abstract Advances in cardiac surgery toward the mid-20th century created a need for an artificial means of stimulating the heart muscle. Initially developed as large external devices, technological advances resulted in miniaturization of electronic circuitry and eventually the development of totally...

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Bibliographic Details
Published in:Journal of the American College of Cardiology 2017, Vol.69 (2), p.189-210
Main Authors: Mulpuru, Siva K., MD, Madhavan, Malini, MBBS, McLeod, Christopher J., MBChB, PhD, Cha, Yong-Mei, MD, Friedman, Paul A., MD
Format: Article
Language:English
Subjects:
atrial fibrillation
bradycardia
cardiac pacing
Cardiovascular
heart conduction system
Internal Medicine
magnetic resonance imaging
tachycardia
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Summary:Abstract Advances in cardiac surgery toward the mid-20th century created a need for an artificial means of stimulating the heart muscle. Initially developed as large external devices, technological advances resulted in miniaturization of electronic circuitry and eventually the development of totally implantable devices. These advances continue to date, with the recent introduction of leadless pacemakers. In this first part of a 2-part review, we describe indications, implant-related complications, basic function/programming, common pacemaker-related issues, and remote monitoring, which are relevant to the practicing cardiologist. We provide an overview of magnetic resonance imaging and perioperative management among patients with cardiac pacemakers.
ISSN:0735-1097
1558-3597
DOI:10.1016/j.jacc.2016.10.061