733
edits
Devices: Difference between revisions
Jump to navigation
Jump to search
no edit summary
No edit summary |
|||
| (One intermediate revision by the same user not shown) | |||
| Line 1: | Line 1: | ||
==Pacemakers== | ==Pacemakers== | ||
[[Image:Paced2.gif|300px|right|thumb|Ventricular paced rhythm shows ventricular pacemaker spikes.]] | [[Image:Paced2.gif|300px|right|thumb|Ventricular paced rhythm shows ventricular pacemaker spikes.]] | ||
| Line 316: | Line 313: | ||
*Right atrial lead | *Right atrial lead | ||
*Right ventricular lead | *Right ventricular lead | ||
*Left ventricular lead | *Left ventricular lead. The left ventricular lead is usually positioned in the coronary sinus, alternatively it can be positioned epicardially on the left ventricle (by a surgical procedure) or intracardially in the left ventricle (through a transseptal puncture). | ||
===Programming, follow up and complications=== | ===Programming, follow up and complications=== | ||
Programming should specifically aim at ensuring atrial-synchronous permanent biventricular pacing, by performing AV-interval optimization (echocardiography guided or using invasive haemodynamic measurments) and performing ventricular-ventricle (VV) interval optimization. Further programming, follow up and complications are similar to pacemakers and ICDs (see above). | Programming should specifically aim at ensuring atrial-synchronous permanent biventricular pacing, by performing AV-interval optimization (echocardiography guided or using invasive haemodynamic measurments) and performing ventricular-ventricle (VV) interval optimization. Further programming, follow up and complications are similar to pacemakers and ICDs (see above). | ||