Cover

Title Page

Copyright

Dedication

Contents

Foreword

List of Contributors

Preface

About the Companion Website

Part 1 Introduction

Chapter 1 History of Cardiac Pacing and Defibrillation in the Young

Leads

Pacing modes

Non-invasive programmability

Multiprogrammability

Miniaturization

Pacemaker codes

Guidelines for implantation of cardiac pacemakers and antiarrhythmia devices

North American Society of Pacing and Electropysiology (NASPE)

The implantable cardioverter defibrillator (ICD)

Summary

References

Chapter 2 Clinically Relevant Basics of Pacing and Defibrillation

Basic concepts in cardiac pacing

Engineering aspects of transvenous pacemaker leads and generators

Basic concepts in ICDs

Engineering aspects of transvenous ICD leads and generators

ICD therapies

Cardioversion

Defibrillation

ICD monitoring, algorithms, and alerts

Remote monitoring

References

Part 2 Clinical Concepts

Chapter 3 Indications for Permanent Pacing, Device, and Lead Selection

Introduction

Section 1: indications for permanent pacemaker implantation

Section 2: lead selection

Section 3: device selection

Conclusions

References

Chapter 4 Indications for Implantable Cardioverter Defibrillator Therapy, Device, and Lead Selection

Introduction

ICD indications in patients with congenital heart disease (CHD)

ICD indications in hypertrophic cardiomyopathy (HCM)

ICD indications in patients with long QT syndrome (LQTS)

ICD implantation in catecholaminergic polymorphic ventricular tachycardia (CPVT)

ICD implantation in Brugada syndrome (BrS)

ICD indications in arrhythmogenic right ventricular dysplasia/cardiomyopathy (ARVD/C)

ICD code

ICD generator selection

V sensing and refractory (unique to devices)

Subcutaneous ICD

Conclusions

References

Chapter 5 Hemodynamics of Pacing and Cardiac Resynchronization Therapy (CRT) for the Failing Left and Right Ventricle

Physiology of electrical and mechanical activation

Abnormal activation sequence during bundle branch block

Site specific hemodynamics of pacing

Strategies to restore ventricular synchrony in adult heart failure

Strategies to restore synchrony in pediatric and congenital heart disease

Conclusions

References

Chapter 6 Sensor Driven Pacing: Ideal Characteristics in Pediatrics

Introduction

Basic physiology of exercise

Characteristics of an ideal rate-adaptive pacing system

Sensors

Conclusion

References

Chapter 7 Implantable Cardioverter-Defibrillator Testing in Pediatric and Congenital Heart Disease

Fibrillation and defibrillation

Defibrillation threshold testing and lowest energy tested

Common methods of determining DFT in pediatrics and CHD in the current era

Upper limit of vulnerability

Equipment and personnel readiness for defibrillation testing at implant

Factors that affect DFTs

Approach to the patient with high DFTs

Retesting of the DFT in pediatric and congenital heart disease

Follow-up DFTs in non-transvenous ICD configurations

Conclusions

References

Part 3 Implantation Techniques

Chapter 8 Permanent Transvenous Pacemaker, CRT, and ICD Implantation in the Structurally Normal Heart

Introduction

Procedural requirements and patient selection

Transvenous access and site selection

Lead placement in the structurally normal heart

Device location and pocket creation

Approach to the generator change

Conclusion

References

Chapter 9 Permanent Pacemaker, CRT, and ICD Implantation in Congenital Heart Disease

Indications for pacemaker placement in patients with congenital heart disease

Recommendations for pacemaker placement in pediatric and CHD

Recommendations for implantable cardioverter defibrillator placement in patients with CHD

Implanting the device

Unique scenarios for pacemaker or ICD implantation in patients with congenital heart disease

Resynchronization therapy

Assessment of dyssynchrony in congenital heart disease

Implantation of a CRT device

References

Chapter 10 Permanent Epicardial Pacing: When, How, and Why?

Introduction

Patient size

Patient anatomy and physiology

Lead placement and cardiomyopathy

Lead longevity and implantation

Epicardial pacing in specific patient substrates

Types of epicardial pacing leads and implantation approaches

Complications after epicardial pacemaker implantation

Conclusion

References

Chapter 11 Managing Device Related Complications and Lead Extraction

Introduction

Implant-related complications

Transvenous leads

Arrhythmias during implantation

Lead perforation

The pulse generator pocket

Venous thrombosis

Lead extraction

Summary

References

Chapter 12 Temporary Pacing in Children

Introduction

Approaches to temporary pacing

Conclusion

References

Part 4 Device Programming and Follow-Up

Chapter 13 Pacemaker and ICD Programming in Congenital Heart Disease

Pacemaker programming

ICD programming

References

Chapter 14 Pacemaker Troubleshooting and Follow-Up

Pacemaker programming for unique conditions

Sensing issues

Maladaptive pacemaker function in the young patient or patient with repaired congenital heart disease

Loss of capture issues

Upper rate behaviors

Automatic mode switch algorithms

Pacemaker mediated tachycardia

Pacemaker crosstalk

Noise reversion

Pacemakers and MRI

Follow-up

References

Chapter 15 ICD Troubleshooting and Follow-Up

Introduction

ICD therapy

Nonphysiologic oversensing

Physiologic oversensing

T-wave oversensing

P-wave oversensing

R-wave double counting

Supraventricular tachycardia

Failure to deliver therapy

Unsuccessful therapy

Small caliber ICD lead failures

ICD generator failures

Conclusion

References

Chapter 16 CRT\,device Programming and Optimization

Introduction

Programming the device

Monitoring CRT response

CRT optimization

Optimization in pediatrics and congenital heart disease

Conclusion

References

Chapter 17 Implantable Syncope and Arrhythmia Monitors, and Automated External Defibrillators

Introduction

Implantable loop recorders

Conclusion

References

Chapter 18 Electromagnetic Interference and Implantable Devices

Background

When to suspect electromagnetic interference

Sources of electromagnetic interference

Cardiovascular implanted electronic devices and magnetic resonance imaging

References

Chapter 19 Quality of Life, Sports, and Implantable Devices in the Young

Introduction

Description of the topic

Quality of Life

Sports participation

References

Chapter 20 Device Innovations and the Future of Device Therapy for Arrhythmia and Heart Failure Management

Introduction and the legacy of cardiac rhythm management devices

Toward a better energy source

Preserving vascular access in our young patients

Leads and conductors

Out-patient monitoring

Cardiac rhythm management devices in low and middle income countries

References

Glossary

Index

EULA