Table Of ContentCardiac Pacing and ICDs
Fourth Edition
Cardiac Pacing and ICDs
Fourth Edition
Kenneth A. Ellenbogen, MD
Kontos Professor of Medicine
Director, Electrophysiology and Pacing Laboratory
Virginia Commonwealth University Medical Center
Richmond,Virginia
Mark A. Wood, MD
Professor of Medicine
Assistant Director, Electrophysiology and Pacing Laboratory
Virginia Commonwealth University Medical Center
Richmond,Virginia
© Kenneth A.Ellenbogen,MD,2005
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ISBN-13:978-1-4051-0447-0
ISBN-10:1-4051-0447-3
Library of Congress Cataloging-in-Publication Data
Cardiac pacing and ICDs / [edited by] Kenneth A.Ellenbogen,Mark A.Wood.—4th ed.
p. ; cm.
Includes bibliographical references and index.
ISBN-13:978-1-4051-0447-0 (pbk.)
ISBN-10:1-4051-0447-3 (pbk.)
1. Cardiac pacing. 2. Implantable cardioverter-defibrillators.[DNLM: 1. Cardiac Pacing,Artificial. 2. Defibrillators,
Implantable. 3. Pacemaker,Artificial. WG 168 C26333 2005] I. Ellenbogen,Kenneth A. II. Wood,Mark A.
RC684.P3C29 2005
617.4¢120645—dc22
2004026975
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To my wife, Phyllis, whose support and encouragement helped make this project
successful, and to my children, Michael,Amy, and Bethany for their patience and
love.
—Kenneth A. Ellenbogen, MD
To my wife, Helen E.Wood, PhD, for her unquestioning love and support, and to
my parents,William B.Wood, PhD, and Donna S.Wood, EdD, for their enduring
examples of scholarship.
—Mark A.Wood, MD
Contents
Contributors viii
Preface x
1. Indications for Permanent and Temporary Cardiac Pacing 1
Pugazhendhi Vijayaraman, Robert W. Peters, and Kenneth A. Ellenbogen
2. Basic Concepts of Pacing 47
G. Neal Kay
3. Hemodynamics of Cardiac Pacing 122
Richard C.Wu and Dwight W. Reynolds
4. Temporary Cardiac Pacing 163
Mark A.Wood and Kenneth A. Ellenbogen
5. Techniques of Pacemaker Implantation and Removal 196
Jeffrey Brinker and Mark G. Midei
6. Pacemaker Timing Cycles 265
David L. Hayes and Paul A. Levine
7. Evaluation and Management of Pacing System Malfunctions 322
Paul A. Levine
8. The Implantable Cardioverter Defibrillator 380
Michael R. Gold
9. Cardiac Resynchronization Therapy 415
Michael O. Sweeney
10. ICD Follow-up and Troubleshooting 467
Henry F. Clemo and Mark A.Wood
11. Follow-up Assessments of the Pacemaker Patient 500
Mark H. Schoenfeld and Mark L. Blitzer
Index 545
vii
Contributors
Mark L. Blitzer, MD David L. Hayes, MD
Instructor in Medicine Chair, Cardiovascular Diseases
Yale University School of Medicine Mayo Clinic
Hospital of Saint Raphael Professor of Medicine
New Haven, Connecticut Mayo Clinic College of Medicine
Rochester, Minnesota
Jeffrey Brinker, MD
Professor of Medicine G. Neal Kay, MD
Johns Hopkins University School of Professor of Medicine
Medicine University of Alabama at Birmingham
Johns Hopkins Hospital University of Alabama Hospital
Baltimore, Maryland Birmingham,Alabama
Henry F. Clemo, MD, PhD Paul A. Levine, MD
Associate Professor of Medicine Clinical Professor of Medicine
Virginia Commonwealth Loma Linda University School of
University School of Medicine Medicine
Richmond,Virginia Loma Linda University Medical
Center
Michael R. Gold, MD, PhD Loma Linda, California
Michael E.Assey Professor of Vice President and Medical Director
Medicine St. Jude Medical CRMD
Chief, Division of Cardiology Sylmar, California
Medical Director, Heart and Vascular
Center Mark G. Midei, MD
Medical University of South Carolina Assistant Professor of Medicine
Charleston, South Carolina Johns Hopkins University School of
Medicine
Midatlantic Cardiovascular Associates
Baltimore, Maryland
viii
CONTRIBUTORS
Robert W. Peters, MD Michael O. Sweeney, MD
Professor of Medicine Assistant Professor
University of Maryland School of Harvard Medical School
Medicine Cardiac Arrhythmia Service
Chief of Cardiology Brigham and Women’s Hospital
Veterans Administration Medical Center Boston, Massachusetts
Baltimore, Maryland
Pugazhendhi Vijayaraman, MD
Dwight W. Reynolds, MD Assistant Professor of Medicine
Professor of Medicine and Virginia Commonwealth
Chief, Cardiovascular Section University School of Medicine
The University of Oklahoma Health Co-Director, Cardiac Electrophysiology
Sciences Center Lab
Chief of Staff McGuire VA Medical Center
OU Medical Center Richmond,Virginia
Oklahoma City, Oklahoma
Richard C.Wu, MD
Mark H. Schoenfeld, MD Attending Physician, Clinical
Clinical Professor of Medicine Electrophysiology Laboratory
Yale University School of Medicine Assistant Professor of Medicine
Director, Cardiac Electrophysiology and Cardiac Arrhythmia Research Institute
Pacer Laboratory The University of Oklahoma Health
Hospital of Saint Raphael Sciences Center
New Haven, Connecticut Oklahoma City, Oklahoma
ix
