Cardiac Pacemakers

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The book covers a comprehensive range of topics related to diagnostic pacemakers and their clinical applications. It begins with an exploration of the philosophy behind diagnostic pacemakers and compares various models with Holter functions. The clinical evaluation of a diagnostic pulse generator highlights its special analysis features in patient follow-up. It discusses the significance of analysis functions in multiprogrammable pacemakers and examines methods for determining endocardial signal amplitude in single-chamber demand pacemakers. Advancements in Holter monitoring are addressed, particularly the shift towards implantable systems, alongside discussions on memory technology and the limitations of Holter functions in single-chamber diagnostic pacemakers. The text emphasizes the prevention and detection of pacemaker dysfunctions, physiological pacing, and biological adjustments. Initial experiences with rate-responsive pacing and challenges related to slope adjustment and rate adaptation are analyzed. Clinical experiences with various pacing technologies, including respiratory rate responsive pacemakers and SO2-controlled devices, are detailed. The book also introduces new stimulation modes and dual-chamber pacemakers with automatic rhythm recognition. It delves into ischemia-induced ventricular arrhythmias, antitachycardia pacemaker design, and the efficacy of various algorithms. The surgical approach to tachycardias