Open Access Medical Books



Edited by Mithilesh Kumar Das .

624 pages . 
Open Access .

Cardiac pacing has been one of the greatest inventions of 20th Century. Since the fi rst pacing system was implanted in 1958, pacemakers have evolved into very sophisticated machines. Conduction system disease being more prevalent in elderly, however, it can eff ect younger population. At present pacemaker is the only defi nitive treatment for symptomatic conduction system disease. It is implanted by cardiologists, electrophysiologists, and surgeons. Patients with pacemakers are primarily managed by electrophysiologists and cardiologists but many emergency physicians and general physicians encounter these patients. In addition, many pacemaker clinics are managed by nurses who oft en have more contact with patients than physicians. Therefore, understanding of modern pacemaker functions is necessary for many people in medical science who manage patients.
The fi rst edition of this book emphasizes the science, implantation techniques and management of cardiac pacing. This book also covers the lead related issues, interference with magnetic resonance imaging, device related complications and utility of remote monitoring. Future of pacemaker may ley in understanding the mechanisms of pacemaker currents and conduction system physiology. Therefore, we have incorporated chapters related to these topics along with a chapter discussing the status of bio-pacemakers. I have tried to integrate every aspect of modern pacemaker function important for managing patients and help to understand the mechanism and future of cardiac pacing.
I hope that this textbook will meet the needs of clinicians, nurses, scientists, engineers and also patients. I sincerely believe that being accessible on the web, many patients may be able to visit the book will get acquainted with modern pacemaker functions and complications. The book will make them aware the present status and future of their device. Therefore, I am excited about the opportunity to present the whole spectrum of cardiac pacing in a comprehensive scientifi c manner that will not only be helpful to electrophysiologists but also benefi t a large spectrum of people in medical science.
We have also included chapters regarding gut pacemakers as well as pacemaker mechanisms of neural network.
I greatly acknowledge the valuable assistance of Mrs. Jelena Marusic of Intech, an Open Access publisher for all the help in compiling this comprehensive book of 32 chapters. I sincerely thank all the contributors for their excellent eff orts in making their book chapters very elaborate and useful. It was only possible by taking out time form their family, busy schedules and other scientifi c assignments. Therefore, all contributors deserve a great credit and thanks in making the book comprehensive. I would also like to thank my wife Rekha and our sons, Awaneesh and Mohineesh, for being impetus in my continued eff ort to practice medicine at a highest level and contribute to medical science.

I hope that this book will provide valuable information to all the medical and paramedical personnel who take care of our patients with pacemaker. I hope that this book will provide the basic knowledge and comprehensive reference for clinicians to help improve their lives of our patients.

Mithilesh Kumar Das, MD, MRCP, FACC
Associate Professor of Clinical Medicine
Krannert Institute of Cardiology
Indiana University School of Medicine,



Part 1 Pacemaker Basic Information .

 1 Information Technology Aspects of Integrated Cardiac Rhythm Disease Management 3 Dieter Hayn, Hannes Kumpusch, Rene Labenbacher, Robert Modre-Osprian and Günter Schreier

 2 Different Automatic Mode Switching in DDDR Pacemakers 25 Maurizio Santomauro, Carlo Duilio, Carla Riganti, Paolo Di Mauro, Gennaro Iapicca, Luca Auricchio, Alessio Borrelli and Pasquale Perrone Filardi

 3 Advanced Techniques for CRT Implantations 37 Béla Merkely, Levente Molnár, Szabolcs Szilágyi and László Gellér

 4 The Alternative Atrial Pacing Sites 55 Jacek Gajek, Przemysław Skoczyński and Agnieszka Sławuta

 5 Left Ventricular Endocardial Pacing Techniques as an Alternative for Ineffective Cardiac Resynchronization Therapy and the Role of Acute Hemodynamic Evaluation 69 Berry M. van Gelder, Patrick Houthuizen, Mike G. Scheffer, Lukas Dekker and Frank A. Bracke

 6 Pacing Therapy in Infants and Children with Congenital and Acquired Complete Atrioventricular Block: Optimal Pacing Strategies, Management, and Follow-up. 89 Floris E.A. Udink ten Cate and Narayanswami Sreeram

 7 Advantages of Right-Sided Implantation of Permanent Cardiac Pacemakers Performed by a Surgeon 117 Davor Horvat

Part 2 Remote Monitoring .

 8 Telemonitoring of the Pacemaker 129 Umashankar Lakshmanadoss, Abrar Shah and James P Daubert

 9 Remote Monitoring in Patients with Pacemakers and Implantable Cardioverter-Defibrillators: New Perspectives for Complex Therapeutic Management 147 Axel Müller, Thomas M. Helms, Hans-Jürgen Wildau, Jörg Otto Schwab and Christian Zugck

 10 Remote Monitoring of Implantable Pacemaker, Cardioverter Defibrillator, and Cardiac Resynchronizer 167 Milton E. Guevara-Valdivia and Pedro Iturralde Torres

Part 3 Pacemaker Interactions with ICD and MRI .

 11 Interaction between the RF Field of MRI Apparatus and Pacemakers 181 Stefano Pisa, Paolo Bernardi, and Emanuele Piuzzi

 12 Adverse Interactions between ICD and Permanent Pacemaker Systems 201 Dirk Bastian and Klaus Fessele

 13 Electromagnetic Interference of Pacemakers 229 Umashankar Lakshmanadoss, Priya Chinnachamy and James P Daubert

 14 Magnetic Resonance Imaging with MR Conditional Cardiac Pacemakers 253 Josef Vymazal, Aaron Rulseh, Miloš Táborský and Radovan Žáček

Part 4 Complications of Pacemaker Implant .

 15 Complications of Pacemaker Implantation 271 Michele Schiariti, Mariateresa Cacciola and Paolo Emilio Puddu

 16 Common Pacemaker Problems: Lead and Pocket Complications 299 Enes Elvin Gul and Mehmet Kayrak

 17 Conduction Disturbances after the Superior Septal Approach for Mitral Valve Repair 319 Yoshio Misawa, Shin-ichi Ohki, Yuichiro Kaminishi, Yasuhito Sakano, Kei Aizawa, Tsutomu Saito, Hiroaki Konishi and Arata Muraoka

 18 Complication of Pacemaker Implantation: An Atrial Lead Perforation 333 Kenji Sadamatsu

 19 Cardiac Perforation Associated with a Pacemaker or ICD Lead 343 Seil Oh

 20 Long-Term Consequences of Endocardial Leads Present in Cardiovascular System 351 Barbara Małecka

 21 Pacing System Malfunction: Evaluation and Troubleshooting 367 Majid Haghjoo

 22 Infections of Permanent Pacemakers and Implantable Cardioverter- Defibrillators 381 Metallidis Symeon – Pilalas Dimitris

Part 5 Non-cardiac Pacemakers .

 23 Pacemaker and Network Mechanisms of Neural Rhythm Generation 405 Thomas Nowotny and Mikhail I. Rabinovich

 24 Network of Gut Pacemaker Cells: Spatio-Temporal Evaluation of Electrical Activity by Use of Microelectrode Array 427 Shinsuke Nakayama, Mizuki Taniguchi and Hong-Nian Liu

 25 Possible Role of Respiratory Pacemaker Neurons in the Generation of Different Breathing Patterns 441 Peña-Ortega F

 26 Diaphragmatic Pacemaker 453 Salim Surani

Part 6 Future Technologies .

 27 Optical Techniques for Future Pacemaker Technology 473 Yasuaki Kumamoto, Nicholas Isaac Smith, Katsumasa Fujita, Jun Ando and Satoshi Kawata

 28 Creation of a Biopacemaker: Lessons from the Sinoatrial Node 495 A. Dénise den Haan, Arie O. Verkerk and Hanno L. Tan

 29 Advances in Research on Pacemaking Function of Interstitial Cell of Cajal in Gastrointestinal Tract 527 Wen Xie Xu

 30 Biological Pacemaker – Main Ideas and Optimization 549 Han-Gang Yu and Yen-Chang Lin

 31 The Functional Role of Chloride Channels in Cardiac Pacemaker Activity 573 Zheng Maggie Huang and Dayue Darrel Duan

 32 The Funny Current in Cardiac Non-Pacemaker Cells: Functional Role and Pharmacological Modulation 595 Laura Sartiani, Elisabetta Cerbai and Alessandro Mugelli .

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Published by: Unknown - Friday, May 17, 2013


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