Permanent Pacing Flashcards
1
Q
def
A
a small device placed in the chest which controls abnormal heart rhythms
central role in bradycardia
2
Q
what sort of permanent pacemaker is used for atrial and ventricular tachyarrhthmias
A
ICDs
3
Q
what sort of permanent pacemaker is used for heart failure
A
cardiac resynchronization therapy
4
Q
indications
A
1 class I
-symptomatic bradycardia
-2nd degree (mobitz 2) + 3rd degree heart block
-persistant AF
2 class IIa
-symptomatic sinus node disease with heart rate <40 bpm or unexplained syncope
-first- or second-degree heart block causing pacemaker syndrome
5
Q
complications
A
1 procedural -haematoma -pneumothorax -pericardial effusion 2 late complications -lead displacement -infection