The Pacemaker Clinic of the 90’s

1. Front Matter

   Pages i-xviii

   PDF

2. The Anatomical Electrical Interface

   1. Cardiac Anatomy in Perspective of Cardiac Pacing

      • Anton E. Becker

      Pages 1-11

   2. The Electrical Electrode-Myocard Interface

      • Fred H.M. Wittkampf

      Pages 13-31

3. Considerations Before Implant of a Pacemaker

   1. Timing Cycles in Dual-Chamber Adaptive Rate Pacemakers and the Consequences for Programming

      • Jaap H. Ruiter, Jan P. M. Corstjens

      Pages 33-53

   2. Pacing in Elderly Patients — Preoperative Evaluation and Pacemaker Selection

      • Rob van Mechelen, Karel den Dulk, Hein J. J. Wellens

      Pages 55-72

   3. Single Lead Atrial Synchronized Ventricular (VDD) Pacing

      • Jonathan C. Pitts Crick

      Pages 73-79

4. Prevention of Pacemaker Complications

   1. Prevention and Treatment of Pacemaker Infection

      • Jo J. A. M. T. Defauw, Norbert M. van Hemel, Emile R. Jessurun

      Pages 81-93

   2. Technical Follow-up of Implanted Pacemakers

      • Peter van der Kemp, Lex Bakema

      Pages 95-122

   3. A Stepwise Approach to Solve Pacemaker Problems

      • Berry M. van Gelder, Frank A. L. E. Bracke

      Pages 123-165

   4. Cardiac Arrhythmias and the Interaction with Pacemakers

      • Luc Jordaens

      Pages 167-183

5. Miscellaneous Aspects

   1. Cardiac Stimulation as Nonpharmacological Treatment of Heart Failure

      • Patricia F. A. Bakker

      Pages 185-197

   2. The Interplay Between Radiofrequency Catheter Ablation of Arrhythmias and Cardiac Pacing

      • Norbert M. van Hemel

      Pages 199-214

   3. Cardiac Pacing in Children, Special Skills Needed?

      • Margreet Th. E. Bink-Boelkens, Gertie C. M. Beaufort-Krol

      Pages 215-226

   4. Cardiac Pacing in Europe: Anno 1993

      • Hugo Ector, Giorgio A. Feruglio

      Pages 227-237

   5. The Safety and Medico-Legal Responsibilities of the Pacemaker Implantation Team

      • Bas A. J. M. de Mol

      Pages 239-254

6. Back Matter

   Pages 255-270

   PDF

Since the first pacemaker implantation in October 1958 by Senning and Elmqvist in Sweden, cardiac pacing for bradycardia has become a well-established therapy. The impressive growth of clinical experience and the rapid development of pacemaker devices have greatly contributed to this situation. The electrical therapy appears to be so easy that insertion of the lead and its connection to the pacemaker generator requires little effort, skill or insight. However, after implantation a patient's condition seldom remains stable, which requires a flexible pacing program to cover all new cardiac events, and broad insight from clinician and technical colleagues.
The Pacemaker Clinic of the 90's teaches anatomical and electrophysiological aspects of pacing, supports the prevention of complications, and points to new developments in the field. Apart from classical indications for cardiac pacing, the book discusses the validity of the latest indications, supporting the cardiologist and the associated professional in selecting the appropriate pacing mode and pacemaker follow-up in individual patients. The Pacemaker Clinic of the 90's will be a helpful companion for years to come.

• Ablation
• anatomy
• arrhythmia
• heart
• heart failure

• Department of Cardiology, St. Antonius Hospital, Nieuwegein, The Netherlands

  N. M. Hemel

• Heart Lung Institute, University Hospital Utrecht, Utrecht, The Netherlands

  F. H. M. Wittkampf

• Department of Cardiology, University Clinic Gasthuisberg, Leuven, Belgium

  H. Ector

Policies and ethics