By David L. Hayes, Samuel J. Asirvatham, Paul A. Friedman
Inclusive of thirteen chapters, this ebook is uniformly written to supply good, matter-of-fact equipment for realizing and taking good care of sufferers with everlasting pacemakers, ICDs and CRT systems.Now more advantageous and up to date, together with a brand new bankruptcy on programming and optimization of CRT units, this moment version provides a large number of info in an simply digestible shape. Cardiac Pacing and Defibrillation deals brilliant, matter-of-fact tools for figuring out and taking care of sufferers, making daily medical encounters more straightforward and extra productive.Readers will take pleasure in the data and adventure shared through the authors of this ebook.
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Extra resources for Cardiac Pacing and Defibrillation: A Clinical Approach
Note from the curve that the likelihood of success at the DFT energy (10 J) is 70%. Now, if the DFT process were repeated, it is possible that the second shock might fail on one occasion (defining the DFT as 20 J) or that all four shocks might succeed on another occasion (and that a lower energy shock would fail to define the DFT), and so on. Thus, repeating the DFT determinations may result in different values for the DFT with each determination. However, if enough repetitions were performed, a population of DFTs, as shown in (B), would be created.
Pacing Clin Electrophysiol 2004; 27:887–93. 41 Calfee RV, Saulson SH. 2 mm unipolar and bipolar pacemaker leads and connectors. Pacing Clin Electrophysiol 1986; 9:1181–5. 42 Rho RW, Patel VV, Gerstenfeld EP et al. Elevations in ventricular pacing threshold with the use of the Y adaptor: implications for biventricular pacing. Pacing Clin Electrophysiol 2003; 26:747–51. 43 Taieb JM, Barnay C, Linde C, Mortensen P, Menardis M. Left atrial far-field sensing by left ventricular leads: a potential hazard in cardiac resynchronisation therapy.
The first-shock energy is programmed to 10 J less than the maximum output of the device, and fibrillation is induced. If the test shock is successful, the first-shock energy is lowered by 5 or 6 J, and after a delay of 3–5 min fibrillation is induced again and the new energy tested. This iterative decremental process is continued until the first shock fails or until an energy of 5 or 6 J succeeds (at which point the DFT is often defined as ≤ 5 or 6 J). The lowest successful energy is taken as the DFT, and the first shock of the device is chronically programmed to the DFT energy plus 10 J.
Cardiac Pacing and Defibrillation: A Clinical Approach by David L. Hayes, Samuel J. Asirvatham, Paul A. Friedman