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Perioperative Management of Pacemaker Patients - John L. Atlee

Perioperative Management of Pacemaker Patients

By: John L. Atlee (Editor), H. Gombotz (Editor), K.H. Tscheliesnigg (Editor)

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Pacemaker malfunction due to electromagnetic interference and other causes is an important potential cause of patient morbidity and mortality. While the pacemaker industry has been aware of this situation, little has been communicated to physicians concerning the problem. Now, the collected experience and thoughts of pacemaker industry representatives, physicians working with pacemaker patients and legal authorities are brought together in this book to focus on the topic of pacemaker malfunction in perioperative settings. The book begins with discussion of the design and function of modern pacemakers and related devices. It moves on to consider how electromechanical interference, radio-frequency transmission, nuclear magnetic resonance imaging, radiotherapy and extracorporeal shock wave lithotripsy can interfere with or alter pacemaker function. Then, the legal perspective concerning industry and physician responsibilities to patients with pacemakers is presented, followed by discussion of indications for temporary perioperative or permanent pacing. In the final two chapters, the editors make recommendations for the perioperative management of patients with pacemakers.

Contributors
Preface
Current Status of Pacemaker Technologyp. 1
Saftey Standards for Cardiac Pacemakersp. 27
Prevention of Crosstalk in Dual Chamber Pacemakersp. 33
Modern Pacemakersp. 37
Rate-Responsive Cardiac Pacingp. 47
Pacemakers in Childrenp. 53
Implantable Cardioverter-Defibrillatorp. 62
Electromagnetic Interference and Cardiac Pacemakersp. 70
Radiofrequency Transmission and Cardiac Pacemakersp. 83
Nuclear Magnetic Resonance Imaging in Pacemaker Patientsp. 86
Radiation Therapy in Cardiac Pacemaker Patientsp. 91
Extracorporal Shock Wave Lithotripsy in Pacemaker Patientsp. 98
Pacemaker Malfunction: The European Legal Perspective (with Particular Emphasis on Austrian Law)p. 104
Indications for Pacing: The Cardiologist's Perspectivep. 111
Place of Pacing in Cardiopulmonary Resuscitationp. 118
Holter Monitoring for Preoperative Assessment of Bradycardic Arrhythmiasp. 122
Temporary Perioperative Pacingp. 127
Pacemaker Malfunction in Perioperative Settingsp. 138
Guidelines for the Perioperative Management of Pacemaker and Automatic Internal Cardioverter-Defibrillator Patientsp. 146
Subject Indexp. 153
Table of Contents provided by Blackwell. All Rights Reserved.

ISBN: 9783540538745
ISBN-10: 3540538747
Audience: General
Format: Paperback
Language: English
Number Of Pages: 156
Publisher: Springer-Verlag Berlin and Heidelberg Gmbh & Co. Kg
Country of Publication: DE
Dimensions (cm): 23.39 x 15.6  x 0.94
Weight (kg): 0.25