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

from Section 5.2 - Practical Cardiovascular System

Published online by Cambridge University Press:  27 July 2023

By
Edward Rintoul  and
Jeff Phillips
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 reason for insertion, functions and pacing location is essential for treating patients with a permanent pacemaker, especially if device malfunction is suspected.

  2. 2. When managing temporary pacing solutions, the minimum voltage should be at least double the capture threshold.

  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 pacing.

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

Keywords

pacemakertemporary venous pacinginternal cardiac defibrillator
Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
 , pp. 580 - 583
Publisher: Cambridge University Press
Print publication year: 2021

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References

References and Further Reading

Glikson, M, Cosedis, Nielsen, J, Kronborg, MB, et al.; ESC Scientific Document Group. ESC Guidelines on cardiac pacing and cardiac resynchronization therapy: developed by the Task Force on cardiac pacing and cardiac resynchronization therapy of the European Society of Cardiology (ESC). With the special contribution of the European Heart Rhythm Association (EHRA). Eur Heart J 2021;42:3427–520.Google Scholar
Holzmeister, J, Leclercq, C. Implantable cardioverter defibrillators and cardiac resynchronisation therapy. Lancet 2011;378:722–30.CrossRefGoogle ScholarPubMed
National Institute for Health and Care Excellence. 2014. Implantable cardioverter defibrillators and cardiac resynchronisation therapy for arrhythmias and heart failure (review of TA95 and TA120). www.nice.org.uk/guidance/ta314/documents/arrythmias-icds-heart-failure-cardiac-resynchronisation-fad-document2Google 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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