Cardiac implantable electronic devices (CIEDs), including permanent
pacemakers (PMs), cardiac resynchronization therapy devices with
defibrillators (CRT-Ds) or without (CRT-Ps), and implantable
cardioverter defibrillators (ICDs), are implanted worldwide in
increasing numbers. Post-procedural complications are associated with increased patient morbidity, healthcare costs, and even mortality. Published data on these complications are based primarily on secondary analyses of strictly controlled randomized trials, observational single-center studies, or registry-based studies
CRT-D is an implantable cardiac resynchronization therapy (CRT) defibrillator
for patients with heart failure. The device monitors the heart's rhythm,
detects irregularities, and corrects them with electrical impulses. Like an
implantable defibrillator (ICD), a CRT-D is designed to stop life-threatening
ventricular tachycardia and fibrillation with relatively weak and painless
stimulation therapy or electrical shocks. CRT-Ds differ from ICDs in that they
help your heart’s lower chambers – the ventricles – work in tandem. To do this,
CRT-Ds have three leads – wires that deliver energy to the heart – rather than
one or two, as in an ICD.
This course discusses about the more common pacemaker complications that we are likely to encounter in the ED. There are different ways to break these complications down. Some resources categorize complications based on whether they arose from the procedure itself and/or based on the timing of the presentation. However, since many of these complications can occur at any time, we will focus on two categories: procedural complications and general complications.
This course teaches the clinicians about the pacemakers and gives them a solid grounding in pacemaker therapy. You will learn the following things in it.
The purpose of this course is to provide a useful, easily accessible, and user-friendly clinical tool that can be used in the everyday clinical practice. Definition, epidemiology, aetiology, and pathophysiology and genetics of cardiac diseases are summarized according to recent evidence.