The rapid pace of device development and complexity in applications along with
a lack of concise, problem-oriented references has made it difficult for non-electrophysiologists
to confidently manage patients with implanted cardiac rhythm devices (ICRDs).
This book will address this problem by compiling providing a practical, easy-to-read, problem-oriented, and case-based reference to assist in troubleshooting and management of the common complications of ICRDs. Readers will gain fundamental understanding of the applications and clinical indications, procedural techniques, pre- and post-procedure management, and common complications and their management. Over 30 in depth case presentations will provide real-world examples of issues associated with IRCD’s and the many factors involved in clinical decision-making and effective management. This practical book will be an indispensable resource for the clinical cardiologist, cardiology fellow or any practitioner needing to improve understanding and skills in the application of IRCD’s.
1. Pacemakers: Recurrent syncope after pacemaker implantation; A 62-year-old male is referred for “VT”; A 72 year old with pacemaker and pre-syncope; A 52 year-old with possible pacemaker malfunction and syncope; Device management after AV node ablation in an 82 year-old male; A 75 year-old with a pacemaker and syncope during prayer; A 54- year-old with permanent pacemaker presents with fever; A 56 year-old with possible device malfunction; A 73 year-old with possible pacemaker non-capture; Multiple pacing artifacts in a critically ill patient; A 74 year-old male with dual chamber pacemaker and shortness of breath; Ventricular tachycardia in a patient with a dual chamber pacemaker; Ventricular high rate episode; Intermittent atrial pacing in a 62 year old man with a dual chamber pacemaker; tachycardia during pacing; Onset of VT during pacemaker threshold testing; dual chamber pacemaker with possible lead malfunction; Inflammatory reaction on device site; 2. Implanted Cardiac Defibrillators: Exercise induced ICD shocks; Multiple ICD shocks in a 45 year-old male; Interrogation of a dual chamber ICD; A 26-year-old with long QT syndrome and multiple ICD shocks; Palpitations in a patient with a dual chamber ICD; Variable pacing in a patient with congenital AV block; Multiple ICD shocks; Rapid analysis of shock etiology; Wide complex tachycardia with periodic oscillation; Ventricular ectopy on a rhythm strip; Ventricular pacing and atrial flutter; VT undersensing in dual chamber ICD; A 52 year old with a beeping ICD; 3. BiVentricular Pacemakers:Localization of leads in a biventricular pacemaker; Alteration in capture morphology in a biventricular pacemaker; Challenges in LV lead placement; Echocardiography and biventricular pacing; Challenging aspects of biventricular pacing lead placement; Analysis of tracings during device interrogation in a patient with a BiV-ICD; A fifty-one year old with a biventricular pacemaker; Multiple leads on chest x-ray
About the Authors
- Mehdi Razavi, MD is Director Clinical Arrhythmia Research, Texas Heart Institute and Assistant Clinical Professor of Medicine, Baylor College of Medicine, Houston, Texas
- Alizera Nazeri, MD is Senior Cardiology Research Fellow, Texas Heart Institute, Houston, Texas
- Ali Massumi, MD is Director, Center for Cardiac Arrhythmias and Electrophysiology, Texas Heart Institute, Houston, Texas
- Samuel J. Asirvatham, MD is Consultant, Division of Cardiovascular Diseases and Internal Medicine, and Professor of Medicine and Pediatrics, Division of Pediatric Cardiology, Mayo Clinic College of Medicine, Rochester, Minnesota