Uses of Pacemakers and Antiarryhthmia Devices

New recommendations for the implantation of cardioverter-defibrillator devices click patients with:

-spontaneous sustained ventricular fibrillation that is not amenable to other treatments, but only in the absence of geomorphological heart disease

-left ventricular ejection fraction of 30 percent or less,

at least one month post-myocardial infarction and three months post-coronary arterial blood vessel revascularization surgery

-syncope of unexplained etiology or family history of sudden unexplained cardiac death, in association with typical or unorthodox right bundlebranch block and ST-segment elevations (Brugada syndrome)

-syncope in the presence of advanced structural heart disease in which thorough invasive and noninvasive investigation has failed to define a cause.

Biventricular pacing therapy is now recommended for patients execrable from advanced heart failure, specific indexes of left ventricular dysfunction, and p

Morantz, C., & Torrey, B. (2003). Guidelines for implantation of cardiac pacemakers. American Family Physician, 67(4):887-888.

Houghton, T., & Kaye, G. C. (2003). Implantable devices for treating tachyarrhythmias. British Medical Journal, 327(7410):333-336.

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