Engineering in Medicine

1. Front Matter

   Pages I-XIV

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2. Principles and Techniques of Cardiac Pacing

   1. Front Matter

      Pages 1-1

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   2. Clinical Requirements for Pacemaker Therapy

      • S. Effert, H. J. Bisping, W. Irnich

      Pages 3-10

   3. Electrophysiological Aspects of Cardiac Stimulation

      • W. Trautwein

      Pages 11-23

   4. Techniques of Permanent Pacemaker Implantation

      • H. Dittrich, R. Achatzy

      Pages 25-53

   5. Pacemaker Electronic Circuits

      • B. Parker, S. Furman

      Pages 55-72

3. Clinical Experience with Various Pacing Techniques

   1. Front Matter

      Pages 73-73

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   2. Results of Permanent Cardiac Stimulation Therapy

      • L. Bette, P. Doenecke, G. Rettig, R. Flöthner

      Pages 75-90

   3. Myocardial and Endocardial Pacing Systems — An Appraisal

      • M. Bilitch

      Pages 91-97

   4. Transvenous Atrial Synchronized Pacing

      • J. Witte, L. Dressler, G. Schröder, G. H. von Knorre

      Pages 99-120

   5. Pacemaker Therapy as a New Possibility for the Diagnosis and Treatment of Carotid Sinus Syncope

      • F. Solti, Z. Szabo

      Pages 121-132

   6. Temporary Cardiac Pacing

      • J. Bredikis, A. Dumcius, R. Zebrauskas, E. Vaicekavicius, P. Stirbys

      Pages 133-143

   7. Problems with Temporary and Permanent Pacing for Cardiac Arrhythmias Without AV-Block

      • G. Vilagi, E. Kekes, I. Nadas

      Pages 145-151

   8. Clinical Complications Due to Pacemaker System Failures and their Management

      • P. Kalmar, K. v. Bally, N. Bleese, J. Kitzing, H.-J. Krebber, P. Pinich et al.

      Pages 153-174

4. Patient Management

   1. Front Matter

      Pages 175-175

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   2. Transtelephone Pacemaker Monitoring

      • S. Furman, D. J. W. Escher

      Pages 177-194

   3. Long-Term Cardiological Follow-Up Results

      • R. Leutschaft

      Pages 195-223

   4. Computer Applications for Monitoring of Pacemaker Patients

      • A. Schaudig, M. Zimmermann, R. Thurmayr, E. Kreuzer, B. Reichert

      Pages 225-238

5. Stimulation Electrodes

   1. Front Matter

      Pages 239-239

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   2. Engineering Concepts of Pacemaker Electrodes

      • W. Irnich

      Pages 241-272

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.

• diagnosis
• heart
• management
• medicine
• technology
• therapy

• Zentralinstitut für Biomedizinische Technik der Friedrich Alexander Universität Erlangen/Nürnberg, Erlangen, Germany

  Max Schaldach

• Montefiore Hospital and Medical Center, Bronx, USA

  Seymour Furman

Policies and ethics