1. Basic Cardiac Pacing Claire Regan MSc Chief Cardiac Physiologist UHSM 2009

3. A Pacemaker!

5. What is a Pacemaker? A pacemaker is an electronic device implanted in the body to regulate the heart beat. It consists of a battery and electronic circuits enclosed in a hermetically sealed can. The pacemaker delivers electrical stimuli over leads with electrodes in contact with the heart. (‘Cardiac Pacemakers Step by Step’ – S.Serge Barold, Roland X. Stroobandt, Alfons F. Sinnaeve).

6. Atrial and Ventricular Leads

7. Lead Detail

8. RA and RV Leads

9. RA Septum/RVOT Leads

10. Pacemaker Code

11. Unipolar

12. Bipolar

13. Reasons for Implanting AAI Sinus Node Dysfunction. Sick Sinus Syndrome in the absence of known or anticipated AV block.

14. Contraindications for AAI Heart Block known or anticipated. Atrial Tachyarrhythmias. Neurally Mediated Syncope.

15. AAI

16. AAIR

17. AAI Pacing

19. Reasons for Implanting VVI Chronic Atrial Tachyarrhythmias.

20. Contraindications for VVI Heart Failure. Left Ventricular Systolic or Diastolic Dysfunction. Neurally Mediated Syncope.

21. VVI

22. VVIR

23. VVI Pacing

24. VVI Pacing (Bipolar – RVA)

25. Ventricular Pacing (Unipolar - RVOT)

26. Reasons for Implanting DDD ♥AV block ♥Chronic Bi/Trifascicular block ♥Sinus Node Dysfunction

27. Contraindications for DDD ♥Heart Failure ♥Chronic Atrial Tachyarrhythmias

28. DDD

29. DDDR

30. AV (DDD) Pacing

32. References Barold, S. S., Stroobandt, R. X., Sinnaeve, A. F. (2004). Cardiac Pacemakers Step by Step. USA: Blackwell Futura. Bennett, D. H. (2007). Cardiac Arrhythmias. London: Hodder Arnold. Ellenbogen, K. A., Wood, M. A. (2002). Cardiac Pacing and ICD’s. USA: Blackwell Science. Hayes, D. L., Lloyd, M. A., Friedman, P. A. (2000). Cardiac Pacing and Defibrillation: A Clinical Approach. USA: Futura Publishing Company.

33. Any Questions?