Cardiac Pacing and ICDs, Seventh Edition, Edited by Kenneth A. Ellenbogen and Karoly Kaszala

Cardiac Pacing and ICDs

 

7th Edition

 

EDITED BY

Kenneth A. Ellenbogen, MD

Kimmerling Professor of Cardiology and Chairman of the Division of Cardiology
VCU / Pauley Heart Center
Director of Clinical Cardiac Electrophysiology and Pacing
Medical College of Virginia / VCU School of Medicine
Richmond, VA, USA

Karoly Kaszala, MD, PhD

Associate Professor of Medicine
VCU / Pauley Heart Center
Medical College of Virginia / VCU School of Medicine
Director of Electrophysiology
Hunter Holmes McGuire VA Medical Center
Richmond, VA, USA

 

 

 

 

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List of Contributors

Jeffrey A. Brinker, MD
Professor of Medicine
Johns Hopkins University School of Medicine
Baltimore, MD, USA

T. Jared Bunch, MD
Professor of Medicine
Division of Cardiovascular Medicine
University of Utah School of Medicine
Salt Lake City, UT, USA

Yong‐Mei Cha, MD
Consultant and Professor of Medicine
Department of Cardiovascular Diseases
Division of Heart Rhythm Services
Mayo Clinic
Rochester, MN, USA

John D. Day, MD
Intermountain Heart Rhythm Specialists
Intermountain Heart Institute
Intermountain Medical Center
Salt Lake City, UT, USA

Kenneth A. Ellenbogen, MD
Kimmerling Professor of Cardiology and Chairman of the Division of Cardiology
VCU / Pauley Heart Center
Director of Clinical Cardiac Electrophysiology and Pacing Medical College of Virginia / VCU School of Medicine
Richmond, VA, USA

Michael E. Field, MD
Cardiac Electrophysiologist, Professor of Medicine
Medical University of South Carolina
Charleston, SC, USA

Michael R. Gold, MD
Michael Assey Chair in Cardiology
Professor of Medicine
Medical University of South Carolina
Charleston, SC, USA

Michael Hoosien, MD
Cardiac Electrophysiologist, Piedmont Heart Institute
Piedmont Atlanta Hospital
Atlanta, GA, USA

Jose F. Huizar, MD
Director, Arrhythmia and Device Clinic
Hunter Holmes McGuire VA Medical Center
Associate Professor of Medicine
VCU School of Medicine
Richmond, VA, USA

Kevin P. Jackson, MD
Associate Professor of Medicine
Duke University, School of Medicine
Durham, NC, USA

Roy M. John, MBBS, PhD, FRCP
Director, Center for Advanced Management of Ventricular Arrhythmias
Northshore University Hospital
Manhasset, NY, USA

Karoly Kaszala, MD, PhD
Associate Professor of Medicine
VCU / Pauley Heart Center
Medical College of Virginia / VCU School of MedicineDirector of Electrophysiology
Hunter Holmes McGuire VA Medical Center
Richmond, VA, USA

Ammar M. Killu, MBBS
Consultant and Assistant Professor of Medicine
Department of Cardiovascular Diseases, Division of Heart Rhythm Services
Mayo Clinic
Rochester, MN, USA

Justin Z. Lee, MD
Clinical Cardiac Electrophysiology Fellow
Mayo Clinic
Rochester, MN, USA

Charles J. Love, MD
Professor of Medicine
Johns Hopkins University School of Medicine
Baltimore, MD, USA

Joseph E. Marine, MD
Vice‐Director, Division of Cardiology
Associate Professor of Medicine
Johns Hopkins University School of Medicine
Baltimore, MD, USA

Siva K. Mulpuru, MD
Consultant, Division of Cardiovascular Diseases
Associate Professor of Medicine
Mayo Clinic
Rochester, MN, USA

Jeffrey S. Osborn, MD
Intermountain Heart Rhythm Specialists
Intermountain Heart Institute
Intermountain Medical Center
Salt Lake City, UT, USA

Kristen K. Patton, MD
Professor of Medicine
University of Washington
Seattle, WA, USA

Arun R.M. Sridhar, MD, MPH
Assistant Professor of Medicine
University of Washington
Seattle, WA, USA

Bruce S. Stambler, MD
Cardiac Electrophysiologist, Piedmont Heart Institute
Piedmont Atlanta Hospital
Atlanta, GA, USA

Vaibhav Vaidya, MD
Clinical Cardiac Electrophysiology Fellow
Mayo Clinic
Rochester, MN, USA

Niraj Varma, MD, PhD
Staff Physician
Cardiac Electrophysiology and Pacing
Heart and Vascular Institute
Cleveland Clinic
Cleveland, OH, USA

Preface

Management of an aging population with increasing co‐morbidities challenges each of us every day and individualizing patient treatment using an evidence‐based approach is a common goal of health care providers. Device therapy to treat cardiac arrhythmias remains relevant as device indications expand and survival in chronic disease increases. Our aim with this new edition of the book is to provide an up‐to‐date source of basic principles and a resource for device technicians, industry representatives, medical students, nurses, residents and fellows and anyone interested in the care of patients with cardiac implantable electronic devices (CIEDs) or interest in cardiac device therapy. Most sections of this book have undergone extensive revision with several key chapters being completely revised. All chapters were updated to include the most relevant clinical progress. Discussions about indications for device therapy now reflects the most current ACC/AHA clinical guidelines. We took a fresh look at different device and lead components and pacing physiology and hemodynamics. Basic pacemaker function and pacing algorithms are extensively discussed along with troubleshooting. The hemodynamic, pacemaker timing cycles, device algorithm and troubleshooting sections all are updated to summarize the most current, clinically relevant scenarios. Since the last edition, several important advances in device therapy became commonplace. Novel technologies, such as leadless pacemakers, His bundle pacing, and subcutaneous ICDs offer alternative therapies to patients and these therapies have reached mainstream application. Beyond discussing the basics of pacing and defibrillation, in the current edition there are step‐by‐step instructions for the implant procedure. Indications, best uses, and the nuts and bolts of these novel technologies are added and explained. Numerous real‐life examples are included to illustrate specific problems and troubleshooting. It is hard to believe that 8 years ago we had only limited availability and acceptance of quadripolar left ventricular pacing leads for cardiac resynchronization therapy and now this is the norm. These chapters have been updated with new information on multisite pacing. Over the last five years, patient follow‐up has been revolutionized with widespread use of remote monitoring and the final chapter provides a thorough review of current evidence and standard practice for patient follow‐up.

Of course this book would have never come to fruition without the support of Wiley and the meticulous work of the authors to whom we are greatly indebted. Their outstanding contributions are reflected through each chapter, with excellent summaries of complex topics written in a simplified yet clinically relevant manner and supported by great illustrations. We hope that this new edition will continue to be a helpful resource to all of our colleagues who are interested in learning about cardiac device therapy

Kenneth A. Ellenbogen, MD

Karoly Kaszala, MD, PhD

VCU / Pauley Heart Center
Medical College of Virginia/VCU School of Medicine
Richmond, VA, USA

February 2020

Acknowledgments