def
a small device placed in the chest which controls abnormal heart rhythms
central role in bradycardia
what sort of permanent pacemaker is used for atrial and ventricular tachyarrhthmias
ICDs
what sort of permanent pacemaker is used for heart failure
cardiac resynchronization therapy
indications
1 class I
-symptomatic bradycardia
-2nd degree (mobitz 2) + 3rd degree heart block
-persistant AF
2 class IIa
-symptomatic sinus node disease with heart rate <40 bpm or unexplained syncope
-first- or second-degree heart block causing pacemaker syndrome
complications
1 procedural -haematoma -pneumothorax -pericardial effusion 2 late complications -lead displacement -infection