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3.1.2 - Cardiac Pacing, Implantable Cardioverter–Defibrillators and Cardiac Resynchronisation Therapy

from Section 3.1 - Cardiac and Circulatory Failure

Published online by Cambridge University Press:  27 July 2023

By
Paul Harris
Edited by
Ned Gilbert-Kawai ,
Debashish Dutta  and
Carl Waldmann
Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
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Summary

Key Learning Points

  1. 1. Knowledge of both permanent and temporary pacing systems is necessary, as both are encountered in the intensive care environment.

  2. 2. A chest X-ray will provide all the information required to identify the type of permanent device in situ.

  3. 3. All implantable cardioverter–defibrillators (ICDs) have full pacemaker capabilities.

  4. 4. Magnets will turn off all anti-tachycardia therapies from an ICD, but not anti-bradycardia therapies.

  5. 5. External defibrillator pads must be applied if ICD therapies are turned off.

Keywords

pacemakertemporary pacingimplantable cardioverter–defibrillators
Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
 , pp. 90 - 92
Publisher: Cambridge University Press
Print publication year: 2021

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References

References and Further Reading

Holzmeister, J, Leclercq, C. Implantable cardioverter defibrillators and cardiac resynchronisation therapy. Lancet 2011;378:722–30.CrossRefGoogle ScholarPubMed
Jacob, S, Panaich, SS, Maheshwari, P, Haddad, JW, Padanilam, BJ, John, SK. Clinical applications of magnets on cardiac rhythm management devices. Europace 2011;13:1222–30.Google Scholar
Leyva, F. Pacing supplement: cardiac resynchronisation therapy – developments in heart failure management. Br J Cardiol 2018;25(Suppl 3):S12–19.Google Scholar
National Institute for Health and Care Excellence. 2014. Implantable cardioverter defibrillators and cardiac resynchronisation therapy for arrhythmias and heart failure. www.nice.org.uk/guidance/ta314Google Scholar

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