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LANDES BIOSCIENCE V ad e me c u m Table of contents 1. NASPE/BPEG Codes for Permanent Pacing 2. Basic Concepts of Pacing 3. Basic Single Chamber Pacing 4. Dual Chamber Pacing 5. Upper Rate Behavior in Dual Chamber Pacing 6. Sensor-Driven Pacing 7. Advanced Pacemaker Features 8. Indications for Permanent Pacemaker Implantation 9. Follow-Up of Permanent Pacemakers 10. Preoperative, Operative and Postoperative Considerations 11. Evaluation of Pacemaker Malfunction 12. NBD Code for Implantable Cardioverter Defibrillators 13. Basic Concepts of Implantable Cardioverter Defibrillators 14. Indications for Implantable Cardioverter Defibrillators 15. Preoperative, Operative and Postoperative Considerations for Implantable Cardioverter Defibrillators 16. Evaluation of Defibrillator Malfunction 17. Follow-Up of Implantable Cardioverter Defibrillators LANDES BIOSCIENCE V ad e me c u m Cardiac Pacing The Vademecum series includes subjects generally not covered in other handbook series, especially many technology-driven topics that reflect the increasing influence of technology in clinical medicine. The name chosen for this comprehensive medical handbook series is Vademecum, a Latin word that roughly means “to carry along”. In the Middle Ages, traveling clerics carried pocket-sized books, excerpts of the carefully transcribed canons, known as Vademecum. In the 19th century a medical publisher in Germany, Samuel Karger, called a series of portable medical books Vademecum. The Vademecum books are intended to be used both in the training of physicians and the care of patients, by medical students, medical house staff and practicing physicians. We hope you will find them a valuable resource. All titles available at www.landesbioscience.com Charles J. Love v a d e m e c u m Handbook of Cardiac Pacing Charles J. Love , M.D. Ohio State University Medical Center Columbus, Ohio LANDES BIOSCIENCE AUSTIN, TEXAS U.S.A. VADEMECUM Handbook of Cardiac Pacing LANDES BIOSCIENCE Austin Copyright © 1998 Landes Bioscience All rights reserved. No part of this book may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage and retrieval system, without permission in writing from the publisher. Printed in the U.S.A. Please address all inquiries to the Publisher: Landes Bioscience, 810 S. Church Street, Georgetown, Texas, U.S.A. 78626 Phone: 512/ 863 7762; FAX: 512/ 863 0081 ISBN: 1-57059-492-9 Library of Congress Cataloging-in-Publication Data Love, Charles J. Handbook of cardiac pacing / Charles J. Love p. cm. Includes bibliographical references and index. ISBN 1-57059-492-9 1. Cardiac pacing--Handbooks, manuals, etc. I. Title. [DNLM: 1. Pacemaker, Artificial. 2. Defibrillators, Implantable. 3. Cardiac Pacing, Artificial. WG 26L897h 1998] RC684.P3L68 1998 617.4'120645--DC21 DNLM/DLC 98-26333 for Library of Congress CIP While the authors, editors, sponsor and publisher believe that drug selection and dosage and the specifications and usage of equipment and devices, as set forth in this book, are in accord with current recommendations and practice at the time of publication, they make no warranty, expressed or implied, with respect to material described in this book. In view of the ongoing research, equipment development, changes in governmental regulations and the rapid accumulation of information relating to the biomedical sciences, the reader is urged to careful