The Essentials in Cardiac Pacing: An Illustrated Guide

ISBN-13: 9789024721023 / Angielski / Miękka / 1978 / 80 str.

G. Fontaine; Yves Grosgogeat; J-J Welti

Opis

The classic medical textbook tends to be overly technical, excessively detailed, profusely referenced, and the antithesis of enjoyable reading. With the expectation of many hours of hard work, I lvas unprepared for the pleasure that lay ahead. This book is what we in the United States call a " sleeper ". Without pomp or solemnity it captures you with a light-hearted style that subtly belies its sophistication. The authors have indeed mastered the art of simplicity, combining profound knowledge with an airy format, to a degree that is hard to emulate. All the salient features o. fpacing are presented here, from history and pathology to complications and long-range follow-up. Perhaps it is a mark of excellence, rather than a confession of my personal ignorance, to say that there is scarcely a section that did not provide me with a new bit of information or a new insight. Permanent pacing o. f the heart is so common nowadays, at least in the more affluent sections 0. 1' the world, that almost every person must know of someone with an implanted pacemaker. In the United States, where there are more than 100, 000 new implants each year, almost every sizeable hospital has a pacemaker implantation service and almost every physician in a related field is interested in doing this surgery. All that should really be required is that the surgeon make himself an expert.

Spis treści

Foreword.- Preface.- Physiology of the Intracardiac Conduction System.- A) Cellular Electrophysiology.- 1. Resting potential.- 2. Action potential.- 3. Action potential of pacemaker cells.- 4. Exitability of the myocardial cell.- B) Intracardiac Conduction.- Intracardiac Conduction Defects.- A) Atrioventricular Conduction Defects.- 1. Third degree atrio-ventricular block.- 2. Second degree atrio-ventricular block.- a) Type I (Wenckebach).- b) Type II (Mobitz).- c) Luciani Wenckebach period.- 3. First degree heart block.- 4. Clinical consequences.- B) Intra-Ventricular Conduction Defects.- 1. Bundle branch blocks.- 2. Fascicular or segmental blocks.- Syncopes.- A) Clinical Features.- 1. Ventricular standstill.- 2. Tachycardias-Fibrillation.- 3. Stokes-Adams syncopes.- B) Techniques for Temporary Pacing.- 1. Femoral approach.- 2. Sub-clavicular approach.- 3. Brachial approach.- Electrophysiological Studies.- 1. Technique.- 2. Localisation of blocks.- 3. Pharmaco-dynamic studies.- 4. Endocavitary stimulation studies.- The Use of Pacemakers in Diseases Other Than A-V Block.- 1. Sino-atrial block and sinus bradycardia.- 2. Bradycardia-tachycardia syndrome.- 3. Pacing in tachycardias.- Pacemakers and Their Function.- A) Types of Pacing.- 1. Bipolar and unipolar.- 2. Endocavitary and epicardial.- B) The Pacemaker.- 1. Energy source.- 2. Basic electronic circuits.- 3. New systems.- Implantation of Pacemakers.- A) Endocardial Pacing.- 1. Venous approaches.- 2. Measuring the threshold.- 3. Implanting the pacemaker.- 4. Post-operative period.- 5. Early complications.- B) Direct Myocardial Pacing.- 1. Positioning of the electrodes.- 2. Checking the threshold.- 3. Implanting the pacemaker.- 4. Post-operative period.- C) Complications Independent of the Method of Implantation.- 1. Hematoma.- 2. Infections.- 3. Pacing failure.- D) Discharge from Hospital.- E) Replacing a Pacemaker.- Living with a Pacemaker.- 1. Every day situations that do not affect pacemakers.- 2. Situations that may affect pacemakers.- Follow-Up of Pacemaker Patients.- A) Clinical Follow-Up.- 1. General health.- 2. Heart failure.- 3. Respiratory insufficiency.- 4. Coronary insufficiency.- 5. Skin reactions.- 6. Pain.- 7. Hematoma.- 8. Thromboses.- 9. Muscular stimulations.- 10. Blackouts and syncopes.- B) The ECG in Pacemaker Patients.- 1. Normal ECG.- 2. ECG abnormalities in pacemaker patients.- C) Radiological Investigations.- D) Check-Up in Specialised Centres.- a) Periodemeter.- b) Photo-analysis.- c) The magnet-test.- d) Programmable pacemakers.- e) Voluntary inhibition of an implanted pacemaker.- f) The pacemaker patient booklet.- g) Follow-up by telephone.- h) Holier monitoring.- References.- Table of Plates.